Individual
ANDREA B FULCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5543 E CHERYL PKWY, FITCHBURG, WI 53711-5376
(608) 274-5300
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004757
IL
363A00000X
Physician Assistant
50-00-1216
OH
363A00000X
Physician Assistant
Primary
7152
WI
Other
Enumeration date
05/08/2006
Last updated
10/13/2025
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