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Individual

KYLE ROBERT ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1854
(231) 672-3883
(231) 672-3973
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(231) 672-2119
(313) 432-7759

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023798
MI
208M00000X
Hospitalist Physician
Primary
5101027282
MI

Other

Enumeration date
06/26/2018
Last updated
07/07/2023
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