# ULBRICH FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144693870
- **Authorized official:** JAMIE GRANT ULBRICH MD (OWNER)
- **Authorized official phone:** (660) 631-3386

## Contact information

- **Practice address:** 2301 S HIGHWAY 65, SUITE 2, MARSHALL, MO 65340-3702
- **Practice address phone:** (660) 631-3386
- **Mailing address:** 2301 S HIGHWAY 65, SUITE 2, MARSHALL, MO 65340-3702
- **Mailing address phone:** (660) 631-3386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD105523 | MO | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 12/22/2015