Dr MARIAN ROBERTA-BENTLEY FULLER MD is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2002 from Michigan State University College Of Human Medicine.
MUNSON HEALTHCARE MANISTEE HOSPITAL
1293 E PARKDALE AVE
1200A WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES
MANISTEE
MI
496608904
Tel: 2313981550
| Npi | 1225053366 |
| Pac Id | 2163427147 |
| Professional Enrollment Id | I20060926000190 |
| Last Name | FULLER |
| First Name | MARIAN |
| Middle Name | ROBERTA-BENTLEY |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Group Practice Pac Id | 3072414333 |
| Number Of Group Practice Members | 34 |
| Line 1 Street Address | 1293 E PARKDALE AVE |
| Line 2 Street Address | 1200A WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES |
| Marker Of Address Line 2 Suppression | |
| City | MANISTEE |
| State | MI |
| Zip Code | 496608904 |
| Phone Number | 2313981550 |
| Hospital Affiliation Ccn 1 | 230303 |
| Hospital Affiliation Lbn 1 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Hospital Affiliation Ccn 2 | 230110 |
| Hospital Affiliation Lbn 2 | SPECTRUM HEALTH LUDINGTON HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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