Individual
CULLEN RICHARD VOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(160) 878-2730
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(160) 878-2730
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5080
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2019
Last updated
07/21/2020
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