Dr. Gregory W Fuller
Family Doctor Emergency Physician Emergency Medical Services
1006 Airport Rd
Jackson
, Michigan 49202-1851
Dr. Gregory W Fuller
Family Doctor Emergency Physician Emergency Medical Services
1006 Airport Rd
Jackson
, Michigan 49202-1851
(517) 787-7976
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Gregory W Fuller
- 1006 Airport Rd
- Jackson, MI
- Zip : 49202-1851
- Fax : (517) 787-7976
- Phone : (517) 784-6663
Second Address
- Dr. Gregory W Fuller
- 1006 Airport Rd
- Jackson, MI
- Zip : 49202-1851
- Fax : (517) 787-7976
- Phone : (517) 784-6663
Reviews
FAQs
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What type of doctor is Dr. Gregory W Fuller
In what state does Dr. Gregory W Fuller practice in?
Where is Dr. Gregory W Fuller ’s practice located?
What is Dr. Gregory W Fuller ’s gender?
Is Dr. Gregory W Fuller a sole practitioner?
Is Dr. Gregory W Fuller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 5101012543 | MI |
| N | 207PE0004X | Emergency Medical Services | 012543 | MI |
| N | 207Q00000X | Family Doctor | OS5478 | FL |
National Provider Identifier
| NPI | 1174569107 |
|---|---|
| Provider Name | Dr. Gregory W Fuller |
| First Address | Jackson, MI 49202-1851 |
| Second Address | Jackson, MI 49202-1851 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 23/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 114545400 | (05) | MI |
| D70569 | (02) | |
| GF012543 | BLUE SHIELD (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.