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Individual

LAURA B ULMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3809 SPRING ST, RACINE, WI 53405-1667
(262) 687-5000
(262) 687-5098
Mailing address
11516 N PORT WASHINGTON RD, STE 202, MEQUON, WI 53092-3441
(262) 241-5040
(262) 241-5261

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37174
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32169300
WI
Enumeration date
06/03/2006
Last updated
08/12/2009
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