Individual
MARK FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LMT
Contact information
Practice address
125 E CAPAC RD, SUITE B, IMLAY CITY, MI 48444-1111
(810) 724-0996
(810) 724-4343
Mailing address
125 E CAPAC RD, SUITE B, IMLAY CITY, MI 48444-1111
(810) 724-0996
(810) 724-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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