Individual provider · Type 1 NPI

Ty Fullmer, DO

Emergency Medicine Physician · Clinton Township, MI

NPI number 1679136758 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Other practice locations

  • 4401 Harrison Blvd, Ogden, UT 84403-3195 · (801) 387-7000

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X12811005-1204 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

512 other providers at this address

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About NPI 1679136758

Ty Fullmer, DO's National Provider Identifier is 1679136758, issued on Apr 15, 2019. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Clinton Township, MI. The record was last updated on May 19, 2022.