Provider Demographics
NPI:1700635679
Name:CULLERS, MALORIE ROSE (MD)
Entity type:Individual
Prefix:
First Name:MALORIE
Middle Name:ROSE
Last Name:CULLERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MALORIE
Other - Middle Name:ROSE
Other - Last Name:WELDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8555 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6123
Mailing Address - Country:US
Mailing Address - Phone:219-736-7232
Mailing Address - Fax:
Practice Address - Street 1:8555 TAFT ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6123
Practice Address - Country:US
Practice Address - Phone:219-736-7232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program