STEPHANIE ELIZABETH RAE FULTON

WATERFORD, MI
NPI1396177556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006793)
Enumeration Date2013-07-30
Last Update Date2016-10-05
Business Address
Ms. STEPHANIE ELIZABETH RAE FULTON PA-C
4800 HIGHLAND RD
WATERFORD, MI 48328-1176
Phone number: 248-673-0500
Mailing Address
Ms. STEPHANIE ELIZABETH RAE FULTON PA-C
4800 HIGHLAND RD
WATERFORD, MI 48328-1176
Phone number: 248-673-0500
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