IndividualActive
Richard Fuller, MD
NPI 1306841002 · Adult Medicine Physician · Brookfield, WI
Provider details
- NPI number
- 1306841002
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 32988-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17780 Versailles Ct
Brookfield, WI 53045-5026
Phone: (262) 389-1375
Approximate (ZIP-level) locationGet directions
Mailing address
17780 Versailles Ct
Brookfield, WI 53045-5026
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2021-06-11
- Certified
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.