Individual
DR. MICHAEL L CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4326 7TH ST, MOLINE, IL 61265-6867
(309) 797-6611
(309) 797-7181
Mailing address
4326 7TH ST, MOLINE, IL 61265-6867
(309) 797-6611
(309) 797-7181
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036078998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078998
—
IL
01
—
08100424
BCBS IL
IL
01
—
094843
MEDICAID
IA
Enumeration date
11/11/2005
Last updated
06/16/2008
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