CLARK J FULLMER

DICKINSON, ND
NPI1649240557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ND  60)
Enumeration Date2006-01-24
Last Update Date2018-08-30
Business Address
CLARK J FULLMER DPM
2615 FAIRWAY ST
DICKINSON, ND 58601
Phone number: 701-456-6000
Mailing Address
CLARK J FULLMER DPM
2615 FAIRWAY ST
DICKINSON, ND 58601-2590
Phone number: 701-456-6000
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