Kathleen M Fulgenzi, MD

NPI #1588656102 in St Clair Shores, Michigan

Provider Information

NPI Number: 1588656102
Entity Type: Individual
Name: Kathleen M Fulgenzi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 19, 2005
Last Updated: Feb 18, 2014

Practice Location

Address: 24911 LITTLE MACK AVE
City: St Clair Shores
State: Michigan
ZIP Code: 48080-3200
Phone: (586) 777-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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