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1366417461
NATHANIEL J FULLERTON
FORT ATKINSON, WI
NPI
1366417461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 38510-20)
Enumeration Date
2006-02-22
Last Update Date
2018-04-11
Business Address
NATHANIEL J FULLERTON MD
611 E SHERMAN AVE
FORT ATKINSON, WI 53538-1960
Phone number: 920-568-5411
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Mailing Address
NATHANIEL J FULLERTON MD
PO BOX 249
FORT ATKINSON, WI 53538-0249
Phone number: 920-568-5411
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