Organization
OMAHA FOOT AND ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P CULLEN DPM (OWNER)
(402) 333-8856
Entity
Organization
Contact information
Practice address
16909 BURKE ST., SUITE 200, OMAHA, NE 68118
(402) 333-8856
(402) 333-3428
Mailing address
16909 BURKE ST., SUITE 200, OMAHA, NE 68118
(402) 333-8856
(402) 333-3428
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
220
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4693
MEDICARE RR
NE
Enumeration date
09/25/2006
Last updated
06/14/2018
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