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Individual

DR. WILLIAM M.K. FULLMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10800 LOCKWOOD DR, SILVER SPRING, MD 20901-1554
(508) 697-5336
(508) 697-1599
Mailing address
30 APPLETREE CIR, BRIDGEWATER, MA 02324-2932
(508) 697-5336
(508) 697-1599

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556486
VA
111N00000X
Chiropractor
Primary
03493
MD
111N00000X
Chiropractor
2173
MA

Other

Enumeration date
09/17/2006
Last updated
07/08/2007
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