Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK J FULLMER II, DPM
ActiveCLARK J FULLMER II, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in DICKINSON, North Dakota. NPI 1649240557 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · DICKINSON, ND
Registration Details
- NPI Number
- 1649240557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.517583710907 yrs)
- Last Updated
- Aug 30, 2018
- License
-
60 (ND)
Practice Information
- Address
-
2615 FAIRWAY STDICKINSON, ND, 58601Browse ND providers · Browse ZIP 58601
- Phone
- 7014566000
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
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.