Fullen, Douglas R

Fullen, Douglas R is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Fullen, Douglas R can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301063830 Michigan
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 4301063830 Michigan

Profile Details

NPI number 1730260183
LBN Legal business name Fullen, Douglas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730260183 NPPES
Michigan MEDICAID 4230027

Popular Providers