| Doctor Name: | MR. MICHAEL DEAN CULLER |
| NPI Number: | 1053424598 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 101079 |
| Business Practice Address: | 5261 Carrollton Pike Suite B Woodlawn, VA - 243813030 |
| Business Phone Number: | 2762388876 |
| Business Fax Number: | 2762388886 |
| Mailing Address: | 5261 Carrollton Pike, Suite B WOODLAWN |
| State: | VA |
| Postal Code: | 243813030 |
| Phone Number: | 2762388876 |
| Fax Number: | 2762388886 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 101079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |