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Dr. Sam Fuller, MD
Plastic and Reconstructive Surgery Physician in South Bend, Indiana
NPI 1649569484

Sam Fuller is a Plastic and Reconstructive Surgery Physician based in Muncie, IN and is specialized in Plastic and Reconstructive Surgery. Sam Fuller practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Sam Fuller is 1649569484 and holds a License No. 01075560A (Indiana).

The current practice location address for Sam Fuller is 53880 Carmichael Dr, South Bend, IN and can be reached out via phone at 574-247-9441 and via fax at 574-247-9442.

Location: 53880 Carmichael Dr, South Bend, IN, 47304-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649569484
Provider Name
Sam Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
53880 Carmichael Dr, South Bend, IN, 47304-5407
Phone Number
574-247-9441
Fax Number
574-247-9442
Provider Enumeration Date
04/01/2011
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
574-247-9442
person
Provider Business Mailing Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
574-247-9442
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
01075560A (Indiana)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
01075560A (Indiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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