Individual
DR. ROBERT DYLAN FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503-2550
(616) 774-2822
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5101026706
MI
Other
Enumeration date
06/22/2017
Last updated
07/26/2022
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