Ethany Lea Cullen in Eden Prairie - Diagnostic Radiology
Ethany Lea Cullen - NPI 1679771497
Ethany Lea Cullen is a Diagnostic Radiology in Eden Prairie, Minnesota. Ethany Lea Cullen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ethany Lea Cullen is 1679771497. The last update date is 2014-05-22.
Ethany Lea Cullen's current location address is 11995 Singletree Ln, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Ethany Lea Cullen is 11995 Singletree Ln, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethany Lea Cullen |
|---|---|
| Address | 11995 Singletree Ln, Eden Prairie, Minnesota |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679771497 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 11995 Singletree Ln |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553445347 |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 51214 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ethany Lea Cullen?
The Ethany Lea Cullen has been issued the NPI (National Provider Identifier) 1679771497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Ethany Lea Cullen is physically located?
The Ethany Lea Cullen is physically situated at the following address: 11995 Singletree Ln, Eden Prairie, MN, 553445347.
What is Ethany Lea Cullen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ethany Lea Cullen is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679771497 to Ethany Lea Cullen?
The Ethany Lea Cullen received its 1679771497 assignment from the Centers for Medicare & Medicaid Services on 2007-07-03.
As of what date were the details related to Ethany Lea Cullen most recently updated or revised?
The information pertaining to Ethany Lea Cullen, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-22.