Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON LEE ULSTAD, DDS
ActiveDR. BRANDON LEE ULSTAD, DDS is a Dentist healthcare provider located in MADISON, Minnesota. NPI 1376587907 is currently active in the NPPES registry. Verify at CMS.
Dentist · MADISON, MN
Registration Details
- NPI Number
- 1376587907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.137992147909 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11578 (MN)
Practice Information
- Address
-
622 3RD STMADISON, MN, 56256Browse MN providers · Browse ZIP 56256
- Phone
- 3205987433
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.