Individual
BENJAMIN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1175 E CHERRY ST, TROY, MO 63379-1520
(636) 528-8686
(636) 528-3332
Mailing address
1175 E CHERRY ST, TROY, MO 63379-1520
(636) 528-8686
(636) 528-3332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2011006590
MO
208600000X
Surgery Physician
5101016896
MI
Other
Enumeration date
05/11/2007
Last updated
03/10/2015
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