Richard E Fuller
Family Doctor - Adult Medicine
17780 Versailles Ct
Brookfield
, Wisconsin 53045-5026
Richard E Fuller
Family Doctor - Adult Medicine
17780 Versailles Ct
Brookfield
, Wisconsin 53045-5026
(262) 389-1375
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Richard E Fuller
- 17780 Versailles Ct
- Brookfield, WI
- Zip : 53045-5026
- Phone : (262) 389-1375
Second Address
- Richard E Fuller
- 17780 Versailles Ct
- Brookfield, WI
- Zip : 53045-5026
- Phone : (262) 389-1375
Reviews
FAQs
Where did Richard E Fuller attend graduate school?
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What type of doctor is Richard E Fuller
In what state does Richard E Fuller practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 32988-020 | WI |
National Provider Identifier
| NPI | 1306841002 |
|---|---|
| Provider Name | Richard E Fuller |
| First Address | Brookfield, WI 53045-5026 |
| Second Address | Brookfield, WI 53045-5026 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 11/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1306841002 | BCBS (01) | WI |
| 208000000X | (05) | WI |
| 31875900 | (05) | WI |
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.