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Individual

DR. BERNARD DAVID FULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301094414
MI
207P00000X
Emergency Medicine Physician
Primary
56310-020
WI

Other

Enumeration date
06/02/2009
Last updated
03/17/2018
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