Individual
STEPHANIE EVE OWEN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
Mailing address
67 KINGSMARK LN, PORTLAND, ME 04102-1628
(813) 245-7801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22487
ME
208M00000X
Hospitalist Physician
MD22487
ME
Other
Enumeration date
06/12/2012
Last updated
01/17/2024
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