Individual
DR. NICOLE M CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
884
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17185
—
ND
05
—
17895
—
ND
Enumeration date
01/06/2010
Last updated
11/09/2020
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