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Search › Michigan › 164W00000X

Gwendolyn Fuller

NPI 1942752688 · on the registry since 2016

Practice

Address
300 W Mcnichols Rd
Detroit, MI 48203
Phone
(313) 867-8015
Organisation at this address
300 W. Mcnichols
New Light Recovery Center
New Light Recovery Center
New Light Recoveruy Center,Inc.
New Light Recovery Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

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
2016-10-28

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