| Doctor Name: | DR. MARK AVERY FULLER |
| NPI Number: | 1124055561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301093004 |
| Business Practice Address: | N10561 Grandview Lane Grandview Hospital Ironwood, MI - 499384828 |
| Business Phone Number: | 9069326211 |
| Business Fax Number: | |
| Mailing Address: | 638 Lake Ave, IRONWOOD |
| State: | MI |
| Postal Code: | 499381424 |
| Phone Number: | 9063647105 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208M00000X |
| License Number: | 4301093004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Hospitalist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |