NPI 1003802638

Stephen C Fuller, MD

Practitioner Family Medicine Physician Appleton, WI

Practice location

Address: 3916 N Intertech CT, Appleton, WI 54913
Phone: (920) 996-1000
Mailing address: 1813b N Oneida St, Appleton, WI 54911-2915

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 27889-020 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1003802638
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2005
Record last updated: 19 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.