Organization
DR. CULLY R. WHITE, NEUROSURGERY & SPINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CULLY R WHITE D.O (OWNER)
(414) 649-3232
Entity
Organization
Contact information
Practice address
2901 W KINNICKINNIC RIVER PARKWAY, SUITE 201, MILWAUKEE, WI 53215
(414) 649-3232
Mailing address
8507 SOLUTION CTR, CHICAGO, IL 60677-8005
(414) 649-3904
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013093178
NPI
WI
Enumeration date
11/27/2007
Last updated
10/26/2012
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