Individual
MICHAEL A FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SPECHT POINT RD STE 105, FORT COLLINS, CO 80525-4311
(970) 494-5891
(720) 506-9645
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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