is a Ambulatory Surgical in Munster, Indiana. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for is 1073564605. The last update date is .
's current location address is 1950 45th Ave, Munster, Indiana. You can contact this provider via phone number 2199225100 and fax number 2199341052. The mailing address for is 1950 45th Ave, Munster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1950 45th Ave, Munster, Indiana |
| Phone Number | 2199225100 |
| Fax Number | 2199341052 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073564605 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1950 45th Ave |
|---|---|
| City | Munster |
| State | Indiana (IN) |
| Post Code | 463213917 |
| Phone Number | 2199225100 |
| Fax Number | 2199341052 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 06-004600-2 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
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