Individual
GRACE DALTON CULLEN
Active
Individual
GRACE DALTON CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30011
MN
207R00000X
Internal Medicine Physician
Primary
67724
MN
207RI0200X
Infectious Disease Physician
Primary
MD70020887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045263
—
WA
Enumeration date
03/28/2019
Last updated
02/27/2026
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