SearchWisconsin390200000X

Thomas Fulghum, MD

NPI 1760226716 · on the registry since 2024 · sole proprietor

Practice

Address
3021 Voyager Dr
Green Bay, WI 54311
Phone
(920) 431-1810
Organisation at this address
Prevea Health
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
207Q00000X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-01

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 Wisconsin