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1447262183
NEIL P FULLAN
GREEN BAY, WI
NPI
1447262183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI 28230)
Enumeration Date
2006-08-12
Last Update Date
2018-04-13
Business Address
NEIL P FULLAN M.D.
2475 UNIVERSITY AVE STE A
GREEN BAY, WI 54302-5099
Phone number: 920-469-1201
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Mailing Address
NEIL P FULLAN M.D.
2475 UNIVERSITY AVE STE A
GREEN BAY, WI 54302-5099
Phone number: 920-469-1201
Copy
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