person
Clark J Fullmer II, DPM
Foot & Ankle Surgery Podiatrist in Dickinson, North Dakota
NPI 1649240557

Clark J Fullmer II is a Foot & Ankle Surgery Podiatrist based in Dickinson, ND and is specialized in Foot & Ankle Surgery. Clark J Fullmer II practices in Dickinson, ND and has the professional credentials of DPM. The NPI Number for Clark J Fullmer II is 1649240557 and holds a License No. 60 (North Dakota).

The current practice location address for Clark J Fullmer II is 2615 Fairway St, Dickinson, ND and can be reached out via phone at 701-456-6000. You can also correspond with Clark J Fullmer II through the mailing address at 2615 FAIRWAY ST, DICKINSON, ND - 58601-2590 (mailing address contact number: 701-456-6000).

Location: 2615 Fairway St, Dickinson, ND, 58601-2590
person
Provider Profile Details
NPI Number
1649240557
Provider Name
Clark J Fullmer II
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2615 Fairway St, Dickinson, ND, 58601-2590
Phone Number
701-456-6000
Fax Number
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14953 05 ND
institution
Provider Business Practice Location Address Details
Address
2615 Fairway St
City
State
Zip
58601
Phone Number
701-456-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2615 Fairway St
City
State
Zip
58601-2590
Phone Number
701-456-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
60 (North Dakota)
Definition
Definition to come...
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