Individual
DR. JOHN M ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9463 HOLLY RD, SUITE 100, GRAND BLANC, MI 48439-2557
(810) 695-3766
(810) 695-9881
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101010742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3246111
—
MI
Enumeration date
08/31/2006
Last updated
09/20/2007
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