Individual
NATHANIEL J FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E SHERMAN AVE, FORT ATKINSON, WI 53538-1960
(920) 568-5411
(920) 568-4004
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 568-5411
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38510-20
WI
Other
Enumeration date
02/22/2006
Last updated
04/11/2018
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