DWIGHT E FULTZ

PARK RAPIDS, MN
NPI1033628805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  LP4277)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
DWIGHT E FULTZ PhD, LP
1003 HOLLINGER ST
PARK RAPIDS, MN 56470-1300
Phone number: 218-366-2636
Mailing Address
DWIGHT E FULTZ PhD, LP
2310 S LAKE IRVING DR SW
BEMIDJI, MN 56601-8859
Phone number: 218-751-1811