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Search › Michigan › Surgical Physician Assistant

Edward Fuller, PA-C

NPI 1932257672 · on the registry since 2007 · sole proprietor

Practice

Address
22101 Moross Road
Detroit, MI 48236
Phone
(313) 343-6866
Organisation at this address
Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
500

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
MI
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 Michigan