Individual
CAITLIN E FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 672-2900
(231) 672-2901
Mailing address
1675 LEAHY ST, SUITE 315A, MUSKEGON, MI 49442-5500
(231) 727-5209
(231) 672-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021325
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021325
MI
Other
Enumeration date
06/24/2014
Last updated
03/16/2016
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