Individual
DR. GERALD A FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1096 S BELSAY RD, SUITE A, BURTON, MI 48509-1948
(810) 742-6100
Mailing address
1096 S BELSAY RD, STE A, BURTON, MI 48509-1948
(810) 742-6100
(810) 742-1742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301061397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3297845
—
MI
Enumeration date
09/02/2006
Last updated
11/29/2011
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