Basic Information
| Provider Information | |||||||||
| NPI: | 1932497658 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CULVER | ||||||||
| FirstName: | THUYANH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2629 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | SHEBOYGAN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530834932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204515000 | ||||||||
| FaxNumber: | 9204515143 | ||||||||
| Practice Location | |||||||||
| Address1: | 2629 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | SHEBOYGAN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 53083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204515000 | ||||||||
| FaxNumber: | 9204515143 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2011 | ||||||||
| LastUpdateDate: | 06/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 62400 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 62400 | WI | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.