Individual
DR. BRANDON LEE ULSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
622 3RD ST, MADISON, MN 56256
(320) 598-7433
Mailing address
622 3RD ST, PO BOX 10, MADISON, MN 56256
(320) 598-7433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11578
MN
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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