Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 4301043869 | MI |
N | 207RH0002X | Hospice and Palliative Medicine | 4301043869 | MI |
NPI | 1194828426 |
---|---|
Provider Name | Dr. Catherine Ann Upton |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 25/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3293612 | (05) | MI |
E31403 | (02) | MI |