Individual
CHARLES DEAN ULRICH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33912
MN
207RG0100X
Gastroenterology Physician
H4760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166460901
—
TX
Enumeration date
04/25/2006
Last updated
06/10/2008
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