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Dr. Jeryl Glynn Fullen, MD
Orthopedic Surgery Physician in Logansport, Indiana
NPI 1275631020

Jeryl Glynn Fullen is a Orthopedic Surgery Physician based in Logansport, IN. Jeryl Glynn Fullen practices in Logansport, IN and has the professional credentials of MD. The NPI Number for Jeryl Glynn Fullen is 1275631020 and holds a License No. 04-16478 (Indiana).

The current practice location address for Jeryl Glynn Fullen is 1101 Michigan Ave, Logansport, IN and can be reached out via phone at 574-753-1729.

Location: 1101 Michigan Ave, Logansport, IN, 46947-1528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275631020
Provider Name
Jeryl Glynn Fullen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1101 Michigan Ave, Logansport, IN, 46947-1528
Phone Number
574-753-1729
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200993900 05 IN
000000696600 01 IN ANTHEM
5N934 01 AR MEDICARE PTAN
100118960A 05 KS
institution
Provider Business Practice Location Address Details
Address
1101 Michigan Ave
City
Logansport
State
Indiana
Zip
46947-1528
Phone Number
574-753-1729
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Michigan Ave
City
Logansport
State
Indiana
Zip
46947-1528
Phone Number
574-753-1729
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
04-16478 (Kansas)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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