Provider Demographics
NPI:1336706167
Name:GETTINGS, CULLEN (NP)
Entity Type:Individual
Prefix:
First Name:CULLEN
Middle Name:
Last Name:GETTINGS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:CULLEN
Other - Middle Name:MATTHEW
Other - Last Name:GETTINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 CORPORATE OFFICE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-5003
Mailing Address - Country:US
Mailing Address - Phone:248-438-8535
Mailing Address - Fax:
Practice Address - Street 1:950 CORPORATE OFFICE DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-5003
Practice Address - Country:US
Practice Address - Phone:248-438-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704351172363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology