EMILY ELLEN FULK

KENOSHA, WI
NPI1427831585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WI  7435-23)
Enumeration Date2023-08-14
Last Update Date2023-08-14
Business Address
EMILY ELLEN FULK PA-C
3400 MARKET LN
KENOSHA, WI 53144-3430
Phone number: 262-551-4600
Mailing Address
EMILY ELLEN FULK PA-C
816 CORNERSTONE XING APT 12
WATERFORD, WI 53185-4540
Phone number: 309-530-5060
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