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Individual

BRANDON MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
261 N MAIN, CEDAR SPRINGS, MI 49319-8041
(616) 696-2020
Mailing address
3134 PLAZA DR NE APT A16, GRAND RAPIDS, MI 49525-2942
(616) 322-8463

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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