| NPI | 1811066269 |
|---|---|
| Doing Business As | STACEY ULRICK, OD |
| Entity Type | Organization |
| Authorized Contact | STACEY ANN ULRICK President 952-448-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2753000) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |