Individual
HEATHER L MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
530 N 108TH PL, WAUWATOSA, WI 53226-4253
(414) 231-9640
Mailing address
1717 RIDGE AVE APT 315, EVANSTON, IL 60201-3867
(262) 909-8720
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
153-49
WI
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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