Individual
MEGAN BRIANNA FUELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1010 BOULDER RIDGE TRL, NEW HAVEN, IN 46774-0010
(260) 493-1505
Mailing address
1010 BOULDER RIDGE TRL, NEW HAVEN, IN 46774-0010
(260) 493-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300087508
—
IN
Enumeration date
10/31/2021
Last updated
03/11/2024
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