Individual
DANE W MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
N96W19150 COUNTY LINE RD, GERMANTOWN, WI 53022-4540
(262) 293-4002
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5301-12
WI
Other
Enumeration date
08/31/2017
Last updated
01/10/2020
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