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Individual

EMILY MCCULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
29531 PLYMOUTH RD, LIVONIA, MI 48150-2125
(734) 525-7939
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009610
MI
363AM0700X
Medical Physician Assistant
5601009610
MI

Other

Enumeration date
11/14/2018
Last updated
11/07/2022
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