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NPI Code Detail

MEDICARE: MR. MICHAEL BRIAN UHRLAUB MPT

MEDICARE: MR. MICHAEL BRIAN UHRLAUB MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist02623IA

General Provider Information

NPI Number : 1912975087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL BRIAN UHRLAUB MPT
Provider Business Mailing Address
First Line : ONE EDMUNDSON PLACE
Second Line : SUITE 500
City : COUNCIL BLUFFS
State : IA
Zip : 51503-4619
Country : US
Telephone Number : 712-323-5333
Fax Number : 712-323-3252
Provider Business Practice Location Address
First Line : ONE EDMUNDSON PLACE
Second Line : SUITE 500
City : COUNCIL BLUFFS
State : IA
Zip : 51503-4619
Country : US
Telephone Number : 712-323-5333
Fax Number : 712-323-3252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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