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1508093030
CLIFFORD THOMAS FULTON
GRAND RAPIDS, MI
NPI
1508093030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301094602)
Enumeration Date
2009-06-11
Last Update Date
2022-10-17
Business Address
Dr. CLIFFORD THOMAS FULTON MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
Dr. CLIFFORD THOMAS FULTON MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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