| Doctor Name: | LOUIS M FULTON |
| NPI Number: | 1093702383 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 41378 |
| Business Practice Address: | 1300 South Drive Winnebago Mental Health Information Winnebago, WI - 549850009 |
| Business Phone Number: | 9202354910 |
| Business Fax Number: | 9202352931 |
| Mailing Address: | 4681 Old C, BOSCOBEL |
| State: | WI |
| Postal Code: | 538059223 |
| Phone Number: | 6083752498 |
| Fax Number: | 6083752498 |
| NPI Enumeration Date: | 10/01/2005 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | 41378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |