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1962049593
MICHAEL WAYNE MCCULLOUGH
COLUMBIA, MO
NPI
1962049593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO 112910)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
MICHAEL WAYNE MCCULLOUGH MD
500 N KEENE ST STE 400
COLUMBIA, MO 65201-8104
Phone number: 573-817-3097
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Mailing Address
MICHAEL WAYNE MCCULLOUGH MD
4810 CENTER BROOK CT
COLUMBIA, MO 65203-9196
Phone number: 573-355-5141
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