Individual
DR. MARY LOUISE ULRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
824 WESTWOOD DR S, GOLDEN VALLEY, MN 55416-3355
(763) 377-6341
Mailing address
824 WESTWOOD DR S, GOLDEN VALLEY, MN 55416-3355
(763) 377-6341
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28017
MN
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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