Individual
BRITTANY DAWN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 SKYLINE BLVD, CLOQUET, MN 55720-1164
(218) 879-1271
Mailing address
4190 LOBERG AVE, HERMANTOWN, MN 55811-2652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10770
MN
Other
Enumeration date
11/13/2023
Last updated
07/02/2024
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