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Organization

U P EYE SPECIALISTS PLC

Active
Other names
Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK W ULRICKSON DO PC (OWNER PARTNER)
(906) 225-4512
Entity
Organization

Contact information

Practice address
1414 W FAIR AVE, SUITE 347, MARQUETTE, MI 49855
(906) 225-4512
(906) 225-4514
Mailing address
1414 W FAIR AVE, SUITE 347, MARQUETTE, MI 49855
(906) 225-4512
(906) 225-4514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
08/09/2006
Last updated
02/25/2014
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