Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ivory Fuller Sr.

Individual provider Audiologist · NPI 1326465048

Mr. Ivory Fuller Sr. is an Audiologist in Farmington Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

29100 Lorikay St
Farmington Hills, MI 48334-2842 Not confirmed with CMS for 12 years — call before visiting
Phone: (313) 772-0027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence 3501002891 (MI)
Audiologist Taxonomy 231H00000X · Licence 3501002891 (MI)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence 3501002891

Record details

NPI number1326465048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 19, 2014

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