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Organization
UPSTREAM HEALTH & WELLNESS, LLC
Active
Organization
UPSTREAM HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ANDERSON (OWNER)
(219) 763-3636
Entity
Organization
Contact information
Practice address
3207 WILLOWCREEK RD STE A, PORTAGE, IN 46368-5013
(219) 763-3636
(219) 764-2479
Mailing address
3207 WILLOWCREEK RD STE A, PORTAGE, IN 46368-5013
(219) 763-3636
(219) 764-2479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/10/2021
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