Provider Demographics
NPI:1912916594
Name:CULLAN, DANIEL B II (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:CULLAN
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:575 S 70TH ST STE 200
Mailing Address - Street 2:NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C.
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2471
Mailing Address - Country:US
Mailing Address - Phone:402-488-3322
Mailing Address - Fax:402-488-1172
Practice Address - Street 1:575 S 70TH ST STE 200
Practice Address - Street 2:LINCOLN NE 68510
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2471
Practice Address - Country:US
Practice Address - Phone:402-488-3322
Practice Address - Fax:402-488-1172
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2017-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE24994207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE093416003OtherINDIVIDUAL MEDICARE #
NE24994OtherSTATE OF NE LIC
NE093416Medicare PIN