Individual
ANN L FULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3430 E MAIN ST, MERRILL, WI 54452-9001
(715) 804-7500
Mailing address
3430 E MAIN ST, MERRILL, WI 54452-9001
(715) 804-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40125
WI
Other
Enumeration date
07/11/2006
Last updated
01/14/2016
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