Individual
MARK STEPHEN ULBRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 6TH ST, CHARLESTON, WV 25302-1612
(304) 389-7730
Mailing address
22 RAMSEY DR, CHARLESTON, WV 25312-5609
(304) 389-7730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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