RENEE CHRISTINE FULLER M.D. NPI 1972731370

NPI Information

  • NPI: 1972731370
  • Provider Name: RENEE CHRISTINE FULLER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 609 QUARTER ST
    GLADWIN, MI
    ZIP 48624
  • Phone: (989) 246-6371

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NPI Details

Renee Christine Fuller, M.D. is a family medicine in Gladwin, MI with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Renee Christine Fuller, M.D. NPI is 1972731370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

609 QUARTER ST
GLADWIN, MI
ZIP 48624-941
Phone: (989) 246-6371
Fax: (989) 246-6330

The NPI 1972731370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2009 and was last updated on 10/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine45676KENTUCKYNo
2207Q00000XFamily Medicine4301094316MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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