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Michael C McCully, DO

Hospitalist in Wyoming, MI. Individual provider (NPI-1).

NPI number1790749042
StatusActive
Last updated in NPPESApr 22, 2022

Details

NPI
1790749042
Entity type
Individual (NPI-1)
Name
Michael C McCully
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2006
Certification date
Apr 22, 2022
Last updated
Apr 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist5101007035MIYes
207R00000X Internal Medicine5101007035MI

Practice location

2093 Health Drive Sw
Suite 302
Wyoming, MI 49519

Phone 616-252-5201 · Fax 616-252-5200

Mailing address

2122 Health Dr Sw
Suite 230
Wyoming, MI 49519-9698

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