Michael Wayne McCullough, MD
Obstetrics & Gynecology in Columbia, MO. Individual provider (NPI-1).
NPI number1962049593
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1962049593
- Entity type
- Individual (NPI-1)
- Name
- Michael Wayne McCullough
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 112910 | MO | Yes |
Practice location
500 N Keene St Ste 400Columbia, MO 65201-8104
Phone 573-817-3097
Mailing address
4810 Center Brook CtColumbia, MO 65203-9196
Phone 573-355-5141
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All 69 Obstetrics & Gynecology Physician providers in Columbia · All 7,043 providers in Columbia
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