Individual
DR. BRADLEY JAMES ULLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(701) 234-8710
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(701) 234-8710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
371
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60298
—
ND
05
—
60723
—
ND
Enumeration date
04/19/2006
Last updated
04/05/2013
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