DR. Justin Champion Ullrey, O.D.

NPI #1982263711 in Rockford, Michigan

Provider Information

NPI Number: 1982263711
Entity Type: Individual
Name: DR. Justin Champion Ullrey, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 5, 2019
Last Updated: Jun 5, 2019

Practice Location

Address: 25 N MAIN ST
City: Rockford
State: Michigan
ZIP Code: 49341-1281
Phone: (616) 866-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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