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1073867172
BRIAN UPPER
LANSING, MI
NPI
1073867172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006451)
Enumeration Date
2012-10-29
Last Update Date
2019-10-02
Business Address
BRIAN UPPER P.A.
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912-1806
Phone number: 517-364-9650
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Mailing Address
BRIAN UPPER P.A.
405 W GREENLAWN AVE
LANSING, MI 48910-2898
Phone number:
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