Individual
DR. BRYAN UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1884
(906) 635-4425
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019244
MI
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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