Individual
TRACEY ANN ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 GRAND RIVER, HOWELL, MI 48843
(517) 548-0081
Mailing address
622 E GRAND RIVER AVE, HOWELL, MI 48843-2329
(517) 548-0081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
175T00000X
Peer Specialist
—
MI
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047
—
MI
Enumeration date
09/20/2017
Last updated
07/21/2022
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