Nathaniel J Fullerton, MD
Internal Medicine in Fort Atkinson, WI. Individual provider (NPI-1).
NPI number1366417461
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1366417461
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel J Fullerton
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2006
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 38510-20 | WI | Yes |
Practice location
611 E Sherman AveFort Atkinson, WI 53538-1960
Phone 920-568-5411 · Fax 920-568-4004
Mailing address
Po Box 249Fort Atkinson, WI 53538-0249
Phone 920-568-5411 · Fax 920-568-4004
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All 9 Internal Medicine Physician providers in Fort Atkinson · All 445 providers in Fort Atkinson
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