Individual
MR. MICHAEL J ULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 377-7116
(318) 377-9979
Mailing address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 377-7116
(318) 377-9979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201080
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
201080
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325074
—
LA
Enumeration date
10/02/2006
Last updated
05/14/2013
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