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Renae Fulks
NPI 1023496288 · on the registry since 2015
Practice
- Address
- 13460 Cambridge St Apt 203
Southgate, MI 48195 - Phone
- (734) 444-6831
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan