Dr. Jeryl Glynn Fullen, MD
Dr. Jeryl Glynn Fullen, MD is an Orthopaedic Surgery Physician in Logansport, Indiana. Licensed in Indiana and Kansas. Registered with an NPI since 2006.
- Licensed in
- IN, KS
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1101 Michigan AveLogansport, IN 46947-1528
Phone: (574) 753-1729
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 01063517A (IN) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 04-16478 (KS) |
Record details
| NPI number | 1275631020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | January 16, 2014 |
Other providers in Logansport
-
Dr. James R Davis, DO
1101 Michigan Ave, Logansport, IN 46947-1528 · (574) 722-2663
-
Northcentral Indana Orthopedics
1601 Chase Rd, Logansport, IN 46947-1538 · (574) 753-4193
-
Kral Varhan, MD
1101 Michigan Ave, Logansport, IN 46947 · (574) 722-2663