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Ty Fullmer, DO
NPI 1679136758 · on the registry since 2019
Practice
- Address
- 15855 19 Mile Rd
Clinton Township, MI 48038 - Phone
- (586) 263-2300
- Organisation at this address
- Sleepy Fox Llc
Macomb Anesthesia, Pc
Henry Ford Macomb Hospital
Henry Ford Macomb Hospitals
Great Lakes Bay Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 371
Additional practice sites
- 4401 Harrison Blvd, Ogden, UT
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan