Individual
DR. JAMES CHARLES FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7137 236TH AVENUE, SUITE 108, SALEM, WI 53168-8808
(262) 843-4643
Mailing address
7137 236TH AVENUE, SUITE 108, SALEM, WI 53168-8808
(262) 843-4643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3667
WI
Other
Enumeration date
07/24/2007
Last updated
09/19/2011
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