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

Mr. Genaro Dagan Fullano, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861147431

Mr. Genaro Dagan Fullano, ATC is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

830 N University Ave
Ann Arbor, MI 48109-1048
Phone: (743) 610-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601002574 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1861147431
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedFebruary 12, 2022
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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