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TY FULLMER, DO
DO
Emergency Medicine Physician
NPI: 1679136758IndividualAccepts Medicare
Specialties, Licenses & Credentials
Emergency Medicine PhysicianPrimary
Emergency Medicine
Code: 207P00000X
12811005-1204(UT)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 2 locations total
- Address
- 15855 19 MILE RD
CLINTON TWP, MI 48038 - Phone
- (586) 263-2300
Quick Facts
- NPI
- 1679136758
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 7
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