Individual provider · Type 1 NPI

Richard E. Fuller, MD

Adult Medicine Physician · Brookfield, WI

NPI number 1306841002 Active

Practice location

17780 Versailles Ct
Brookfield, WI 53045-5026

Call (262) 389-1375 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X32988-020 (WI)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1306841002

Richard E. Fuller, MD's National Provider Identifier is 1306841002, issued on Jun 17, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Brookfield, WI. The record was last updated on Jun 11, 2021.