Individual
MATTHEW ROBISON ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286953000
—
MN
Enumeration date
07/27/2006
Last updated
04/15/2011
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