Marc L. Cullen
Pediatric Surgery Surgical Critical Care
Childrens Hospital Of Michigan 3901 Beaubien Blvd
Detroit
, Michigan 48201
Marc L. Cullen
Pediatric Surgery Surgical Critical Care
Childrens Hospital Of Michigan 3901 Beaubien Blvd
Detroit
, Michigan 48201
(313) 831-3220
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About
Features
Specialties
- Surgical Critical Care
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Marc L. Cullen
- Childrens Hospital Of Michigan 3901 Beaubien Blvd
- Detroit, MI
- Zip : 48201
- Phone : (313) 831-3220
Second Address
- Marc L. Cullen
- Childrens Hospital Of Michigan 3901 Beaubien Blvd
- Detroit, MI
- Zip : 48201
- Fax : (313) 831-3908
- Phone : (313) 831-3220
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FAQs
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Is Marc L. Cullen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | 4301047728 | MI |
| Y | 2086S0120X | Pediatric Surgery | 4301047728 | MI |
National Provider Identifier
| NPI | 1659371326 |
|---|---|
| Provider Name | Marc L. Cullen |
| First Address | Detroit, MI 48201 |
| Second Address | Detroit, MI 48201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2005 |
| Last Update Date | 21/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000521507 | ANTHEM (01) | OH |
| 04672 | PARAMOUNT (01) | OH |
| 147948 | GLHP (01) | |
| 1816457 | (05) | MI |
| 2515273 | (05) | OH |
| 2515273 | BCMH (01) | OH |
| 4115615 | (05) | MI |
| 4507190 | AETNA (01) | OH |
| 5202214 | (05) | MI |
| 8161 | HEALTH PLAN OF MI (01) | |
| B46403 | (02) | |
| B46403 | (02) | OH |
| MC047728 | CHAMPUS-CHAMPUS (01) | |
| MC047728 | COMMERCIAL-COMMERCIAL NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.