Individual
SARAH J. MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 32ND AVENUE SOUTH, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454344
—
ND
Enumeration date
07/24/2006
Last updated
12/13/2018
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