Timothy S Mcculloch, DC Valid NPI

Individual provider · Chiropractor · Menomonie, WI

NPI

1811029994

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

3190012 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-12

Last updated

2011-10-11