Individual
DR. DANIEL C. CULLINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS ST STE 210, PORTLAND, ME 04102
(207) 774-2381
Mailing address
887 CONGRESS ST STE 210, PORTLAND, ME 04102-3166
(207) 774-2381
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42169
MN
208600000X
Surgery Physician
56517
WI
208600000X
Surgery Physician
Primary
MD23361
ME
2086S0102X
Surgical Critical Care Physician
56517
WI
2086S0102X
Surgical Critical Care Physician
MD23361
ME
2086S0127X
Trauma Surgery Physician
MD23361
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143428400
—
MN
05
—
APPR
—
WI
Enumeration date
12/23/2005
Last updated
11/06/2019
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