Individual
DR. HEIDI MARIE MCCULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4845 24TH AVE, FORT GRATIOT, MI 48059-3407
(810) 358-4114
(810) 385-5212
Mailing address
10147 MASTERS RD, WALES, MI 48027-2720
(810) 392-2820
(810) 385-5212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004241
MI
Other
Enumeration date
06/15/2005
Last updated
11/15/2008
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