Individual
DR. GEORGE S. FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 GEELE AVE, SHEBOYGAN, WI 53083-5060
(920) 458-5163
Mailing address
3120 S BUSINESS DR # 291, SHEBOYGAN, WI 53081-6524
(920) 458-5163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000015941
TN
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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