Individual
RYAN C UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
Mailing address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(514) 346-8000
(514) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704234352
MI
Other
Enumeration date
01/15/2013
Last updated
03/04/2020
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