Individual provider · Type 1 NPI
Ethany Lea Cullen, MD
Diagnostic Radiology Physician · Byron, MN
NPI number
1679771497
Active
Practice location
421 12th St NW
Byron, MN 55920-1391
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Ste 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 51214 (MN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1679771497
Ethany Lea Cullen, MD's National Provider Identifier is 1679771497, issued on Jul 3, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Byron, MN. The record was last updated on May 22, 2014.