Individual provider · Type 1 NPI

Sam Fuller, MD

Plastic and Reconstructive Surgery Physician · South Bend, IN

NPI number 1649569484 Active

Practice location

53880 Carmichael Dr
South Bend, IN 46635-1567

Call (574) 247-9441 Map

Fax (574) 247-9442

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice locations

  • 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 · (574) 247-9441
  • 303 S Nappanee St Ste F, Elkhart, IN 46514-2066 · (574) 247-9441
  • 2349 Lake Ave Ste 201, Plymouth, IN 46563-7837 · (574) 247-9441

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Surgery) Physician 2086S0105X01075560A (IN)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X01075560A (IN)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

95 other providers at this address

About NPI 1649569484

Sam Fuller, MD's National Provider Identifier is 1649569484, issued on Apr 1, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in South Bend, IN. The record was last updated on Sep 3, 2024.