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:
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Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
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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