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Organization

DR MICHAEL J. ULICH PEDIATRICS, LLC

Active
Other names
Minden Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY MCCANN (CLINIC MANAGER)
(318) 377-7116
Entity
Organization

Contact information

Practice address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 377-7116
(318) 377-9979
Mailing address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 377-7116
(318) 377-9979

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201080
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1325074
LA
Enumeration date
12/19/2006
Last updated
05/15/2013
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