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1003802638
STEPHEN C FULLER
APPLETON, WI
NPI
1003802638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 27889-020)
Enumeration Date
2005-09-20
Last Update Date
2024-07-19
Business Address
STEPHEN C FULLER MD
3916 N INTERTECH CT
APPLETON, WI 54913
Phone number: 920-996-1000
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Mailing Address
STEPHEN C FULLER MD
1813B N ONEIDA ST
APPLETON, WI 54911-2915
Phone number: 920-716-0574
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