Individual provider · Type 1 NPI
Mark A. Fuller, DC, LAC
Chiropractor · Ironton, MN
NPI number
1639270945
Active
Practice location
330 Curtis Ave
Ironton, MN 56455-0193
Mailing address
PO Box 193
Ironton, MN 56455-0193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2948 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1639270945
Mark A. Fuller, DC, LAC's National Provider Identifier is 1639270945, issued on Sep 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ironton, MN. The record was last updated on Jul 8, 2007.