SearchMinnesota111N00000X

Mark Fuller, D.C., LAC

NPI 1639270945 · on the registry since 2006 · sole proprietor

Practice

Address
330 Curtis Ave
Ironton, MN 56455
Phone
(218) 546-5188

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Minnesota