DR. SAM FULLER, MD
Surgery - Plastic and Reconstructive Surgery
Active
Individual
NPI: 1649569484
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Surgery of the Hand | 2086S0105X | No | 01075560A (IN) |
| Surgery - Plastic and Reconstructive Surgery | 2086S0122X | Yes | 01075560A (IN) |
Frequently Asked Questions
NPI 1649569484 is the National Provider Identifier for DR. SAM FULLER, MD, a Surgery - Plastic and Reconstructive Surgery provider located in South Bend, IN. This NPI was enumerated on April 1, 2011.
DR. SAM FULLER, MD practices at 53880 CARMICHAEL DR, South Bend, IN 46635.
Quick Facts
- NPI
- 1649569484
- Type
- Individual
- Enumerated
- Apr 1, 2011
- Last Updated
- Sep 3, 2024
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