Individual
NOAH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
8202 EXCELSIOR DR, MADISON, WI 53717-1906
(608) 831-1766
Mailing address
222 VINE ST, SPOONER, WI 54801-1456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
934
WI
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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