Michael W Fuller, MD

NPI #1851530398 in Fort Edward, New York

Provider Information

NPI Number: 1851530398
Entity Type: Individual
Name: Michael W Fuller, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 6, 2009
Last Updated: Feb 8, 2017

Practice Location

Address: 48 EAST ST
City: Fort Edward
State: New York
ZIP Code: 12828-1811
Phone: (518) 824-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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