Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101019100 | MI |
Y | 207P00000X | Emergency Physician | 5101019100 | MI |
NPI | 1316237795 |
---|---|
Provider Name | Dr. Steven Scott Culley |
First Address | Saint Joseph, MI 49085-2112 |
Second Address | Saint Joseph, MI 49085-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 17/08/2015 |