Individual
COLLIN MICHAEL FUHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 626-8500
Mailing address
14 SUGARPINE DR, TRABUCO CANYON, CA 92679-1409
(949) 554-9634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA57864
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
02/18/2020
Last updated
03/03/2020
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