Individual
TARA MARIE ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1445 NORTH AVE, SPEARFISH, SD 57783-1552
(605) 644-4170
(605) 644-4198
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8808
SD
Other
Enumeration date
06/16/2010
Last updated
10/24/2013
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