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Dr. Gregory W Fuller, DO
Emergency Medicine Physician in Jackson, Michigan
NPI 1174569107

Gregory W Fuller is a Emergency Medicine Physician based in Jackson, MI. Gregory W Fuller practices in Jackson, MI and has the professional credentials of DO. The NPI Number for Gregory W Fuller is 1174569107 and holds a License No. 012543 (Michigan).

The current practice location address for Gregory W Fuller is 1006 Airport Rd, Jackson, MI and can be reached out via phone at 517-784-6663 and via fax at 517-787-7976.

Location: 1006 Airport Rd, Jackson, MI, 49202-1851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174569107
Provider Name
Gregory W Fuller
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1006 Airport Rd, Jackson, MI, 49202-1851
Phone Number
517-784-6663
Fax Number
517-787-7976
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114545400 05 MI
GF012543 01 MI BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1006 Airport Rd
City
Jackson
State
Michigan
Zip
49202-1851
Phone Number
517-784-6663
Fax Number
517-787-7976
person
Provider Business Mailing Address Details
Address
1006 Airport Rd
City
Jackson
State
Michigan
Zip
49202-1851
Phone Number
517-784-6663
Fax Number
517-787-7976
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101012543 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
OS5478 (Florida)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
012543 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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