Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD STEVEN FULLER, PA-C
Active Sole ProprietorEDWARD STEVEN FULLER, PA-C is a Surgical Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1932257672 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1932257672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.63024497891 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5601002984 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22101 MOROSS ROADDETROIT, MI, 482362172Browse MI providers · Browse ZIP 48236
- Phone
- 3133436866
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| VESNA CADIKOVSKA | PA-C | 1205897469 |
| LAUREN BETH GURSKI | PAC | 1184678690 |
| ERIK ILMARS SAULITIS | PAC | 1285680421 |
| YU ZHENG | PAC | 1326089228 |
| MARK M ROESER | PAC | 1194751693 |
| DEJUANA MICHELLE STRONG | P.A. | 1316967813 |
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.