SearchIndiana164W00000X

Gwendolyn Upshaw

NPI 1952952798 · on the registry since 2019 · sole proprietor

Practice

Address
4123 Grace St
East Chicago, IN 46312
Phone
(937) 974-6277

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana