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Individual

BARBARA K FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2990 FRANKLIN AVE SW, GRANDVILLE, MI 49418-3505
(616) 530-3344
(616) 532-8040
Mailing address
PO BOX 936, GRANDVILLE, MI 49468-0936
(616) 530-3344
(616) 532-8040

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301078082
MI
207ZP0213X
Pediatric Pathology Physician
Primary
4301078082
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4485311
MI
05
4485320
MI
Enumeration date
09/29/2005
Last updated
07/31/2023
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