Wayne M Mccullough

NPI 1033284179 - Podiatrist - 213EP1101X

NPI Details
NPI 1033284179
Gender Male
Enumeration Date 11/22/2006
Last Updated 09/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
21813 CAPPEL LN
FRANKFORT IL, 60423-2275, US
Phone (978) 549-6818
Fax (847) 674-0892
Business Location
21813 CAPPEL LN
FRANKFORT IL, 60423-2275, US
Phone (978) 549-6818
Fax (978) 458-4020
Toxanomy
Taxonomy Code 213EP1101X
License State Massachusetts
License Number 1939
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According to our database, Wayne M Mccullough NPI is 1033284179, taxonomy code is 213EP1101X and license number is 1939, license state is located at Massachusetts. Wayne M Mccullough physically located at 21813 Cappel Ln, Frankfort IL, 60423-2275. NPI Number Wayne M Mccullough has the Individual type.

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1033284179 NPI number is provided on an as is basis without warranty of any kind. 1033284179 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne M Mccullough are for informational purposes only.