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

Edward Steven Fuller, PA-C

Individual provider Surgical Physician Assistant · NPI 1932257672

Edward Steven Fuller, PA-C is a Surgical Physician Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2172
Phone: (313) 343-6866
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601002984 (MI)

Record details

NPI number1932257672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Detroit