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Contact Information

MICHAEL P MCCULLOUGH, DPM
2200 BRYANT WILLIAMS DRIVE
SUITE 1
KLAMATH FALLS, OR97601-1121
 Phone: 541-884-7746
 Fax: 541-884-0848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL P MCCULLOUGH · (Male)

NPI Number 1982692661
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/07/2005
Last updated 08/31/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00178
  • OR Other P01237834 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • SKY LAKES MEDICAL CENTER - (Acute Care)
    2865 DAGGETT AVENUE
    KLAMATH FALLS, OR 97601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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