Individual
BRIAN UPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
(517) 364-9605
Mailing address
405 W GREENLAWN AVE, LANSING, MI 48910-2898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006451
MI
Other
Enumeration date
10/29/2012
Last updated
10/02/2019
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