DR. Mark Avery Fuller, MD

NPI #1124055561 in Bayfield, Wisconsin

Provider Information

NPI Number: 1124055561
Entity Type: Individual
Name: DR. Mark Avery Fuller, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 28, 2006
Last Updated: Jun 21, 2022

Practice Location

Address: 36745 AIKEN RD
City: Bayfield
State: Wisconsin
ZIP Code: 54814-4579
Phone: (715) 779-3707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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