| Michael L Cullen Md | |
|
4326 7th St Moline IL 61265-6867 | |
| (309) 797-6611 | |
| (309) 797-7181 |
| Full Name | Michael L Cullen Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4326 7th St, Moline, Illinois |
| Authorized Official Name and Position | Michael L Cullen (OWNER) |
| Authorized Official Contact | 3097976611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Cullen Md 4326 7th St Moline IL 61265-6867 Ph: (309) 797-6611 | Michael L Cullen Md 4326 7th St Moline IL 61265-6867 Ph: (309) 797-6611 |
| NPI Number | 1366562290 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366562290 | NPI | - | NPPES |
| 08100424 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036078998 | Medicaid | IL | |
| 094843 | Other | IA | IOWA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036078998 (Illinois) | Primary |
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