Individual
MR. MICHAEL R UPHUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 4TH AVE N, WOLF POINT, MT 59201-1215
(406) 653-1641
Mailing address
901 4TH AVE N, WOLF POINT, MT 59201-1215
(406) 653-1641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10187
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210068
—
MT
Enumeration date
09/16/2006
Last updated
03/17/2008
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