Individual
MICHAEL OPENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1849 W REDLANDS BLVD STE 103, REDLANDS, CA 92373-3127
(909) 798-5853
(909) 798-0602
Mailing address
1849 W REDLANDS BLVD STE 103, REDLANDS, CA 92373-3127
(909) 798-5853
(909) 798-0602
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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