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NPI Code Detail

MEDICARE: DR. LARRY A ULREY MD

MEDICARE: DR. LARRY A ULREY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician4301038065MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619959780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY A ULREY MD
Provider Business Mailing Address
First Line : 44199 DEQUINDRE RD
Second Line : STE 250
City : TROY
State : MI
Zip : 48085-1128
Country : US
Telephone Number : 248-879-8441
Fax Number : 248-879-6841
Provider Business Practice Location Address
First Line : 14500 HALL RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48313-1229
Country : US
Telephone Number : 586-247-4049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 05/03/2023

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