Individual
JANELLE MARIE ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 4TH AVE SE, SUITE 1, CEDAR RAPIDS, IA 52403-2445
(319) 363-8121
(319) 365-1396
Mailing address
830 4TH AVE SE, SUITE 1, CEDAR RAPIDS, IA 52403-2445
(319) 363-8121
(319) 365-1396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
088327
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
06/15/2021
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