Mark A Fuller, D.C., LAC Valid NPI

Individual provider · Chiropractor · Ironton, MN

NPI

1639270945

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

2948 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-26

Last updated

2007-07-08