Individual
MICHELLE C ULTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2790 MOSSIDE BLVD, STE 700, MONROEVILLE, PA 15146-2758
(412) 380-9250
(412) 380-9253
Mailing address
11279 PERRY HWY, STE 450, WEXFORD, PA 15090-9303
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD033479E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011370100005
—
PA
Enumeration date
05/24/2005
Last updated
07/08/2007
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