Individual
DR. TYLER JOHN ULBRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
PO BOX 1309, 8170 33RD AVE S - MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58859
MN
208M00000X
Hospitalist Physician
58859
MN
208M00000X
Hospitalist Physician
65475-20
WI
Other
Enumeration date
03/29/2013
Last updated
08/30/2016
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