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Kathleen M Fulgenzi, MD
Family Medicine Physician in St Clair Shores, Michigan
NPI 1588656102

Kathleen M Fulgenzi is a Family Medicine Physician based in Clinton Twp, MI. Kathleen M Fulgenzi practices in St Clair Shores, MI and has the professional credentials of MD. The NPI Number for Kathleen M Fulgenzi is 1588656102 and holds a License No. 4301042670 (Michigan).

The current practice location address for Kathleen M Fulgenzi is 24911 Little Mack Ave, St Clair Shores, MI and can be reached out via phone at 586-777-2050 and via fax at 586-777-2189.

Location: 24911 Little Mack Ave, St Clair Shores, MI, 48038-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588656102
Provider Name
Kathleen M Fulgenzi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
24911 Little Mack Ave, St Clair Shores, MI, 48038-1136
Phone Number
586-777-2050
Fax Number
586-777-2189
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4420765 05 MI
0Q262160 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
24911 Little Mack Ave
City
St Clair Shores
State
Michigan
Zip
48080-3200
Phone Number
586-777-2050
Fax Number
586-777-2189
person
Provider Business Mailing Address Details
Address
24911 Little Mack Ave
City
St Clair Shores
State
Michigan
Zip
48080-3200
Phone Number
586-777-2050
Fax Number
586-777-2189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301042670 (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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