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DR. MICHAEL CHARLES GONZALEZ FULLER MD
NPI 1407659683
Student in an Organized Health Care Education/Training Program in Fargo, ND

Active since March 31, 2025
5225 23RD AVE S, FARGO, ND 58104(406) 202-5134 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Apr 13, 2025, Apr 3, 2025 (3 updates tracked since 2025).

About Dr. Michael Charles Gonzalez Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CHARLES GONZALEZ FULLER MD (NPI 1407659683) is an individual student in an organized health care education/training program in Fargo, North Dakota and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1407659683
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL CHARLES GONZALEZ FULLERCredential: MD
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing Address5225 23rd Ave SFargo, ND 58104-7927
Phone(406) 202-5134
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1407659683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5225 23RD AVE S, Fargo, ND 58104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL GREGORY FALVEY M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DR. KEVIN TORKELSON M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DRE STEINWEHR
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DEREK ANDERSON DO
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 234-5933
MRS. SARAH ELAINE NELL
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
MARY M. NYBAKKEN MD
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
ASHLEY HEULE
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 371-7635
MIRANDA SCHAAN
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fuller's NPI number?

The NPI number for Michael Fuller is 1407659683. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Michael Fuller located?

Michael Fuller practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (406) 202-5134.

What is Michael Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Fuller was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.