Cullen, Marc L.
Cullen, Marc L. is an individual health care provider with primary practice located at Childrens Hospital Of Michigan 3901 Beaubien Blvd, Detroit MI 48201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Cullen, Marc L. can be contacted via phone (313) 831-3220.Contact Information
Primary practice address
Childrens Hospital Of Michigan 3901 Beaubien Blvd
Detroit MI 48201
Phone: (313) 831-3220
Fax: (313) 831-3908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 4301047728 | Michigan |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 4301047728 | Michigan |
Profile Details
NPI number | 1659371326 |
---|---|
LBN Legal business name | Cullen, Marc L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Mar 21st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659371326 | NPPES |
Michigan | MEDICAID | 1816457 | |
Michigan | Other | 2515273 | |
Michigan | Other | 4507190 | |
Michigan | Other | MC047728 | |
Michigan | Other | 000000521507 | |
Michigan | Other | MC047728 | |
Michigan | MEDICAID | 2515273 | |
Michigan | MEDICAID | 5202214 | |
Michigan | Other | 147948 | |
Michigan | Other | 8161 | |
Michigan | Other | 04672 | |
Michigan | MEDICAID | 4115615 |
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