Individual
MR. RONNELL ANTHONY UPSHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1107 MCKENNANS CHURCH RD, WILMINGTON, DE 19808-2128
(734) 620-7595
Mailing address
1107 MCKENNANS CHURCH RD, WILMINGTON, DE 19808-2128
(734) 620-7595
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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