National Provider Identifier Database

DOUGLAS R FULLEN, MD – NPI #1730260183
Dermatopathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.


Contact Information

DOUGLAS R FULLEN, MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI48109-5000
Phone: 734-936-4000
Fax:
Website:
Specialty Taxonomy Code
* Dermatopathology 207ZD0900X
Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for DOUGLAS R FULLEN

NPI Number 1730260183
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 10/24/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301063830
  • MI Medicaid: 4230027
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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