Individual
DR. MATTHEW DALEY ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.H.S.A.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022755
MI
Other
Enumeration date
06/21/2016
Last updated
02/23/2017
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