Nicholas Michael Mccullen, O.D.

NPI #1376854745 in Centerville, Iowa

Provider Information

NPI Number: 1376854745
Entity Type: Individual
Name: Nicholas Michael Mccullen, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 30, 2010
Last Updated: Oct 22, 2013

Practice Location

Address: 125 N 13TH ST
City: Centerville
State: Iowa
ZIP Code: 52544-1705
Phone: (641) 437-4099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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