Dr. Edith M Cullen, M.D.
Family Medicine, Sports Medicine in Elkhart, IN. Individual provider (NPI-1).
NPI number1720073521
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1720073521
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edith M Cullen
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2005
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 01061215A | IN | Yes |
| 208D00000X | General Practice | 01061215A | IN |
Practice location
2310 California RdElkhart, IN 46514-1228
Phone 574-264-4163 · Fax 574-262-9650
Mailing address
2310 California Rd Ste AElkhart, IN 46514-1228
Phone 574-264-0791
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