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Individual

DAVID C ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNPC

Contact information

Practice address
181 CORPORATE DR, BANGOR, ME 04401-4314
(207) 992-2636
(207) 990-1248
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP101025
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP101025
LICENSE
ME
Enumeration date
06/23/2010
Last updated
05/06/2021
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