National Provider Identifier
Michael Fuller, MD
Michael Fuller, MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Williamsville, NY and a listed phone number of (716) 883-1991.
Profile Overview
- NPI
- 1780044586
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- March 07, 2016
- Last Updated
- March 25, 2016
Practice Location
- 6490 Main St
- Ste 1
- Williamsville, NY 14221-5853
Phone: (716) 883-1991
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1780044586
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Michael
- Credential
- MD
- Mailing Street Address
- 6490 Main St
- Mailing Address Line 2
- Ste 1
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5853
- Mailing Country
- US
- Mailing Phone
- (716) 883-1991
- Practice Street Address
- 6490 Main St
- Practice Address Line 2
- Ste 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5853
- Practice Country
- US
- Practice Phone
- (716) 883-1991
- Enumeration Date
- March 07, 2016
- Last Updated
- March 25, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)