Individual
EDWARD STEVEN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22101 MOROSS ROAD, DETROIT, MI 48236-2172
(313) 343-6866
Mailing address
5041 YANKEE, ST. CLAIR, MI 48079
(810) 329-6435
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002984
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us