Individual
MICHAEL P CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16909 BURKE ST., SUITE 200, OMAHA, NE 68118
(402) 333-8856
(402) 333-3428
Mailing address
16909 BURKE ST., SUITE 200, OMAHA, NE 68118
(402) 333-8856
(402) 333-3428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
220
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47074840507
—
NE
01
—
P00059988
MEDICARE RR
NE
Enumeration date
06/28/2006
Last updated
11/07/2011
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