Individual
DR. JEFFREY CLARE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3421
(765) 289-7127
Mailing address
2525 W UNIVERISTY AVE, SUITE 504, MUNCIE, IN 47303-3409
(765) 289-7127
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01042241
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091192
BLUE CROSS
IN
05
—
100377090A
—
IN
Enumeration date
06/07/2006
Last updated
09/16/2013
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