Individual
JOHN P MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4600
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24216
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080109768
RAILROAD MEDICARE
WI
01
—
12614
DEAN
WI
01
—
24216
TOUCHPOINT
WI
05
—
30407500
—
WI
Enumeration date
11/14/2005
Last updated
04/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us