Stephen C Fuller
Family Doctor
3916 N Intertech Ct
Appleton
, Wisconsin 54913
Stephen C Fuller
Family Doctor
3916 N Intertech Ct
Appleton
, Wisconsin 54913
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Stephen C Fuller
- 3916 N Intertech Ct
- Appleton, WI
- Zip : 54913
- Phone :
Second Address
- Stephen C Fuller
- 3916 N Intertech Ct
- Appleton, WI
- Zip : 54913
- Phone : (920) 996-1000
Reviews
FAQs
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In what state does Stephen C Fuller practice in?
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Is Stephen C Fuller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 27889-020 | WI |
National Provider Identifier
| NPI | 1003802638 |
|---|---|
| Provider Name | Stephen C Fuller |
| First Address | Appleton, WI 54913 |
| Second Address | Appleton, WI 54913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 28/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B52939 | (02) | 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.