Organization · Type 2 NPI
Surgical Services of Northern Indiana, LLC
Surgical Physician Assistant · Granger, IN
NPI number
1699729111
Active
Practice location
50744 Pheasant Cove Dr
Granger, IN 46530-8835
Fax (574) 272-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1000226A (IN) |
Surgical Physician Assistant: Definition to come...
About NPI 1699729111
Surgical Services of Northern Indiana, LLC's National Provider Identifier is 1699729111, issued on May 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Granger, IN. The record was last updated on Aug 22, 2020.