Individual
DR. ANDREW WILLIAM ULVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
397 BENCH ST., TAYLORS FALLS, MN 55084-0237
(651) 465-3190
(651) 344-6025
Mailing address
PO BOX 298, P.O. BOX 237, STACY, MN 55079-0298
(651) 462-3243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3840
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077J3TA
BLUE CROSS BLUE SHEILD
MN
01
—
350052900
MEDICARE RAILROAD
MN
05
—
38939600
—
MN
05
—
4292979-00
—
MN
01
—
4488447
MEDICA
MN
01
—
79229
HEALTH PARTNERS
MN
01
—
U85229
HEALTH EOS
MN
Enumeration date
10/24/2006
Last updated
10/24/2016
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