Mark A Fuller, D.C., LAC

NPI #1639270945 in Ironton, Minnesota

Provider Information

NPI Number
1639270945
Entity Type
Individual
Name
Mark A Fuller, D.C., LAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C., LAC
Enumeration Date
Sep 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
330 CURTIS AVE
ZIP Code
56455-0193
Phone
(218) 546-5188

Specialties & Taxonomy Codes

Specialty
Chiropractor

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