Individual
DR. STACEY ANN ULRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
111 PIONEER TRL, CHASKA, MN 55318-1121
(952) 361-6249
(952) 361-6877
Mailing address
520 SKYVIEW LN, CARVER, MN 55315-9352
(952) 448-4948
(952) 448-4948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2753000
MN
Other
Enumeration date
10/04/2006
Last updated
01/13/2009
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