Organization
MARK W ULRICKSON DO PLC
Active
Other names
U P Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W ULRICKSON DO PLC (PARTNER)
(906) 225-4512
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE STE 347, MARQUETTE, MI 49855-5407
(906) 225-4512
(906) 225-4514
Mailing address
1414 W FAIR AVE STE 347, MARQUETTE, MI 49855-5407
(906) 225-4512
(906) 225-4514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500051
—
MI
Enumeration date
11/20/2007
Last updated
11/19/2008
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