Individual
MICHAEL C MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2093 HEALTH DRIVE SW, SUITE 302, WYOMING, MI 49519
(616) 252-5201
(616) 252-5200
Mailing address
2122 HEALTH DR SW, SUITE 230, WYOMING, MI 49519-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101007035
MI
208M00000X
Hospitalist Physician
Primary
5101007035
MI
Other
Enumeration date
04/13/2006
Last updated
04/22/2022
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