STEPHANIE L MCCULLOUGH

MILWAUKEE, WI
NPI1144509183
Former NameSTEPHANIE L ROSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2746-23)
Enumeration Date2011-08-09
Last Update Date2025-06-12
Business Address
STEPHANIE L MCCULLOUGH PA
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone number: 414-352-3100
Mailing Address
STEPHANIE L MCCULLOUGH PA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250