| NPI | 1013999580 |
|---|---|
| Doing Business As | BLOOMINGTON SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | REX DANIEL GROSSMAN President, Secretary, & Treasurer 812-334-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 50003177A) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-02-24 |