Individual
STEPHEN L CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8505
(812) 254-4650
(812) 254-4081
Mailing address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8505
(812) 254-4650
(812) 254-4081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000680
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000915642
ANTHEM
IN
05
—
100122300
—
IN
Enumeration date
02/13/2006
Last updated
09/16/2016
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