Most Relevant Information
Provider Data
| NPI Number: | 1003802638 |
| Provider Name: | STEPHEN C FULLER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 27889-020 |
Most Important Dates
| Enumeration Date: | 09/20/2005 |
| Last Updated: | 07/19/2024 |
Provider Practice Location
3916 N INTERTECH CT
APPLETON
WI
54913
Practice Location Phone/Fax
| Phone: | 9209961000 |
| Fax: |
Provider Mailing Location
1813B N ONEIDA ST
APPLETON
WI
549112915
Provider Mailing Phone/Fax
| Phone: | 9207160574 |
| Fax: |
Suggested EMR
Family Practice EMR