Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 52725 | TN |
NPI | 1184917544 |
---|---|
Provider Name | Dr. Michael Ulm |
First Address | Germantown, TN 38138-1762 |
Second Address | Germantown, TN 38138-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2011 |
Last Update Date | 03/06/2019 |