| NPI | 1134259179 |
|---|---|
| Doing Business As | GROSSNICKLE EYE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE P. GROSSNICKLE Medical Director 574-269-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IN 50001530A) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 50001530A) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-10-20 |