Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Charles Gonzalez Fuller, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407659683

Dr. Michael Charles Gonzalez Fuller, MD is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (406) 202-5134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407659683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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