Jill Marie Ullmer
Specialist in Green Bay, WI. Individual provider (NPI-1).
NPI number1124756002
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1124756002
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jill Marie Ullmer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2022
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 717-403 | WI | Yes |
Practice location
801 Hoffman Rd Ste 106Green Bay, WI 54301-1462
Phone 920-277-6989
Mailing address
N5972 Vine RdSeymour, WI 54165-8148
Phone 920-277-6989
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