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BRENT FULLER

Internal Medicine Physician

NPI: 1871552646IndividualAccepts Medicare

Specialties, Licenses & Credentials

Pediatrics Physician

Pediatrics

Code: 208000000X

4301070157(MI)
Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

4301070157(MI)

CMS Specialties

Additional

PEDIATRIC MEDICINE

Education

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Class of 1997

Contact & Hours

Address
3535 W 13 MILE RD STE LL
ROYAL OAK, MI 48073

Quick Facts

NPI
1871552646
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
29

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