WAYNE A FULLER

MUSKEGON, MI
NPI1952390700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  WF091854)
Enumeration Date2005-10-14
Last Update Date2012-02-28
Business Address
-- WAYNE A FULLER MD
1700 CLINTON ST
MUSKEGON, MI 49442-5502
Phone number: 231-726-3511
Mailing Address
-- WAYNE A FULLER MD
550 W WESTERN AVE SUITE B
MUSKEGON, MI 49440-1045
Phone number: 231-726-4498