Wayne M Mccullough

NPI #1033284179 in Frankfort, Illinois

Provider Information

NPI Number: 1033284179
Entity Type: Individual
Name: Wayne M Mccullough
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Enumeration Date: Nov 22, 2006
Last Updated: Sep 21, 2015

Practice Location

Address: 21813 CAPPEL LN
City: Frankfort
State: Illinois
ZIP Code: 60423-2275
Phone: (978) 549-6818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X

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