Alan Fuller MD

NPI 1033178181 - Emergency Medicine - 207P00000X

NPI Details
NPI 1033178181
Gender Male
Enumeration Date 03/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4050 COON RAPIDS BLVD
MERCY MEDICAL CENTER
COON RAPIDS MN, 55433, US
Phone (763) 236-7144
Fax (763) 236-7733
Business Location
7301 OHMS LANE
SUITE 650
EDINA MN, 55439, US
Phone (952) 835-9880
Fax (952) 857-1554
Toxanomy
Taxonomy Code 207P00000X
License State Minnesota
License Number 32138
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According to our database, Alan Fuller MD NPI is 1033178181, taxonomy code is 207P00000X and license number is 32138, license state is located at Minnesota. Alan Fuller MD physically located at 4050 Coon Rapids Blvd, Coon Rapids MN, 55433. NPI Number Alan Fuller MD has the Individual type.

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1033178181 NPI number is provided on an as is basis without warranty of any kind. 1033178181 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Fuller MD are for informational purposes only.