Individual
MICHAEL THOMAS CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(763) 370-0699
Mailing address
3330 JEWEL LN N, PLYMOUTH, MN 55447-1266
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2005511
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2370
MN
Other
Enumeration date
08/29/2019
Last updated
09/16/2019
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