Individual
BETH CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 540, MILWAUKEE, WI 53215-3678
(414) 649-3240
(414) 649-3244
Mailing address
8222 203RD AVE, BRISTOL, WI 53104-9714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072752
—
WI
Enumeration date
10/16/2017
Last updated
11/14/2023
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