Individual
DR. WILLIAM MICHAEL MCCULLOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459
(937) 848-4850
(937) 848-4858
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-049602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062693
—
OH
Enumeration date
07/07/2005
Last updated
01/13/2021
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