Individual
CHARLENE K ULSTAD-WARKENTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 RICE ST, SAINT PAUL, MN 55117-4949
(651) 326-9020
(651) 326-9021
Mailing address
980 RICE ST, SAINT PAUL, MN 55117-4949
(651) 326-9020
(651) 326-9021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34972
MN
Other
Enumeration date
05/03/2006
Last updated
10/20/2011
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