Ty Fullmer, DO
Ty Fullmer, DO is an Emergency Medicine in Clinton Township, Michigan. Qualified in 2019, 7 years ago. Practices with Utah Emergency Physicians, a 149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 7
- Licensed in
- UT
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
15855 19 Mile RdClinton Township, MI 48038-3504
Phone: (586) 263-2300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4401 Harrison Blvd, Ogden, UT 84403-3195 — (801) 387-7000
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 12811005-1204 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1679136758 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 15, 2019 |
| Last updated in NPPES | May 19, 2022 |
| Certification date | May 19, 2022 |
| Mailing address | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Utah Emergency Physicians — 149 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Clinton Township
-
Amanda Rae Connolly, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2300
-
Dr. Keith Cronovich, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 731-8900
-
Alissa Dimichele, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2950
-
Dr. Elizabeth Laura Suzanne Dowers, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2950
-
Cynthia Gee, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (701) 340-2053
-
Dr. Shane Daryl Gober, DO
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2300
-
Joseph Jabour, STUDENT
15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2300
-
Jennifer Faralan Jao, DO
15855 Nineteen Mile Rd, Clinton Township, MI 48038 · (586) 263-2300