RICHARD DOUGLAS ULSTAD

WILMINGTON, NC
NPI1356304810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103634)
Enumeration Date2006-04-07
Last Update Date2014-08-05
Business Address
-- RICHARD DOUGLAS ULSTAD PAC
1905 GLEN MEADE RD
WILMINGTON, NC 28403-6024
Phone number: 910-763-6251
Mailing Address
-- RICHARD DOUGLAS ULSTAD PAC
1905 GLEN MEADE RD
WILMINGTON, NC 28403-6024
Phone number: 910-763-6251
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