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1659564326
GEORGE S. FULTZ
SHEBOYGAN, WI
NPI
1659564326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TN MD0000015941)
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
Dr. GEORGE S. FULTZ M.D.
316 GEELE AVE
SHEBOYGAN, WI 53083-5060
Phone number: 920-458-5163
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Mailing Address
Dr. GEORGE S. FULTZ M.D.
3120 S BUSINESS DR # 291
SHEBOYGAN, WI 53081-6524
Phone number: 920-458-5163
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