| Edward Steven Fuller, PA-C | |
|
22101 Moross Road, Detroit, MI 48236-2172 | |
| (313) 343-6866 | |
| Not Available |
| Full Name | Edward Steven Fuller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 22101 Moross Road, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932257672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5601002984 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Steven Fuller, PA-C 5041 Yankee, St. Clair, MI 48079 Ph: (810) 329-6435 | Edward Steven Fuller, PA-C 22101 Moross Road, Detroit, MI 48236-2172 Ph: (313) 343-6866 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 | |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Sybrena Evans, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 | |
Mrs. Kimberly Louise Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-6870 | |
Tiffany Drane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Basma J Alobahi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6100 Dorothy St, Detroit, MI 48211 Phone: 313-921-5881 | |
Mrs. Emily M Ioco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-0841 |