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Gary Lawrence Ulrich

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as GARY ULRICH.

Based on the most recent information from CMS, provider Gary Lawrence Ulrich is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1053163402
Provider Type
Individual
Full Name
Ulrich, Gary Lawrence
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/1/2024
Last Updated
4/1/2024

Contact Information

Practice Location

3000 Arlington Ave, Toledo, OH 43614-2595

(419) 367-3184

Unlisted Fax

Mailing Location

3000 Arlington Ave, Toledo, OH 43614-2595

(812) 229-9003

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Gary Lawrence Ulrich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Alyosif, Mohammed Abdulaziz A

Dubey, Morgan Elizabeth

Labbad, Murad Mikhail

Al Ghazal, Ali

Bistafa Liu, Jordan

Bucher, Rachel

Paul, Cody S.

Ranabothu, Meghana R

Mundt, Montana

Meisler, Adam