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Individual

MARK E MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1346 COLUMBIA AVE W, SUITE 101, BATTLE CREEK, MI 49015-3067
(269) 964-3300
(269) 964-3366
Mailing address
1346 COLUMBIA AVE W, SUITE 101, BATTLE CREEK, MI 49015-3067
(269) 964-3300
(269) 964-3366

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007869
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950A311080
BCBS OF MICHIGAN
Enumeration date
06/29/2007
Last updated
04/23/2017
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