Individual
MRS. JILL MARIE ULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 HOFFMAN RD STE 106, GREEN BAY, WI 54301-1462
(920) 277-6989
Mailing address
N5972 VINE RD, SEYMOUR, WI 54165-8148
(920) 277-6989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
717-403
WI
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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