Individual
HEATHER C UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 W 94TH PLACE, CROWN POINT, IN 46307-1710
(219) 662-8822
(219) 662-8833
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000889A
IN
Other
Enumeration date
06/14/2006
Last updated
06/27/2025
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