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Nicole Lynn Ulrich, DO
Family Medicine Physician in Prior Lake, Minnesota
NPI 1093032484

Nicole Lynn Ulrich is a Family Medicine Physician based in Prior Lake, MN. Nicole Lynn Ulrich practices in Prior Lake, MN and has the professional credentials of DO. The NPI Number for Nicole Lynn Ulrich is 1093032484 and holds a License No. (Minnesota).

The current practice location address for Nicole Lynn Ulrich is 4670 Park Nicollet Ave Se, Prior Lake, MN and can be reached out via phone at 952-993-8829.

Location: 4670 Park Nicollet Ave Se, Prior Lake, MN, 55372-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093032484
Provider Name
Nicole Lynn Ulrich
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4670 Park Nicollet Ave Se, Prior Lake, MN, 55372-4119
Phone Number
952-993-8829
Fax Number
Provider Enumeration Date
04/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4670 Park Nicollet Ave Se
City
Prior Lake
State
Minnesota
Zip
55372-4119
Phone Number
952-993-8829
Fax Number
person
Provider Business Mailing Address Details
Address
4670 Park Nicollet Ave Se
City
Prior Lake
State
Minnesota
Zip
55372-4119
Phone Number
952-993-8829
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
54301 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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