Dr. Mark Avery Fuller, MD
Dr. Mark Avery Fuller, MD is a General Practice in Bayfield, Wisconsin. Graduated from Michigan State University College of Human Medicine in 1996, 30 years ago. Practices with Red Cliff Band of Lake Superior Chippewa Indians, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.
- Years since qualifying
- 30
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- MI, WI
- 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
36745 Aiken RdBayfield, WI 54814-4579
Phone: (715) 779-3707
Fax: (715) 779-3362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 1901-320 (WI) |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X · Licence 4301093004 (MI) |
Record details
| NPI number | 1124055561 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 28, 2006 |
| Last updated in NPPES | June 21, 2022 |
| Certification date | June 21, 2022 |
| Mailing address | 638 Lake Ave, Ironwood, MI 49938-1424 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Group practice | Red Cliff Band Of Lake Superior Chippewa Indians — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |