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1194732842
MICHAEL P FULLER
SAINT LOUIS, MO
NPI
1194732842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 106117)
Enumeration Date
2006-08-02
Last Update Date
2021-02-11
Business Address
MICHAEL P FULLER MD
3009 N BALLAS RD STE 227A
SAINT LOUIS, MO 63131-2308
Phone number: 314-996-7800
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Mailing Address
MICHAEL P FULLER MD
3009 N BALLAS RD STE 227A
SAINT LOUIS, MO 63131-2308
Phone number: 314-996-7800
Copy
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