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

Michael Fuller, MD

Individual provider General Practice Physician · NPI 1780044586

Michael Fuller, MD is a General Practice Physician in Williamsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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

6490 Main St Ste 1
Williamsville, NY 14221-5853
Phone: (716) 883-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 265403 (NY)

Record details

NPI number1780044586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 25, 2016
Mailing address6490 Main St, Ste 1, Williamsville, NY 14221-5853

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