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1952390700
WAYNE A FULLER
MUSKEGON, MI
NPI
1952390700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI WF091854)
Enumeration Date
2005-10-14
Last Update Date
2012-02-28
Business Address
-- WAYNE A FULLER MD
1700 CLINTON ST
MUSKEGON, MI 49442-5502
Phone number: 231-726-3511
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Mailing Address
-- WAYNE A FULLER MD
550 W WESTERN AVE SUITE B
MUSKEGON, MI 49440-1045
Phone number: 231-726-4498
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