Individual
DEANNA FULBRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
9045 US HIGHWAY 31, STE A, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
(269) 473-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021003
MI
Other
Enumeration date
05/08/2014
Last updated
07/05/2017
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