Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD E FULLER, MD
ActiveRICHARD E FULLER, MD is a Adolescent Medicine healthcare provider located in BROOKFIELD, Wisconsin. NPI 1306841002 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · BROOKFIELD, WI
Registration Details
- NPI Number
- 1306841002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.170116597092 yrs)
- Last Updated
- Jun 11, 2021
- License
-
32988-020 (WI)
Practice Information
- Address
-
17780 VERSAILLES CTBROOKFIELD, WI, 530455026Browse WI providers · Browse ZIP 53045
- Phone
- 2623891375
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.