Provider Demographics
NPI:1700876364
Name:RINGWALD, ULRICH O (MD)
Entity Type:Individual
Prefix:DR
First Name:ULRICH
Middle Name:O
Last Name:RINGWALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1135 W UNIVERSITY DR
Mailing Address - Street 2:STE 135
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-651-0606
Mailing Address - Fax:248-651-5335
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:STE 135
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-651-0606
Practice Address - Fax:248-651-5335
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301032098207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI108103010Medicaid
E26839Medicare UPIN
MI108103010Medicaid