| NPI | 1154380749 |
|---|---|
| Doing Business As | SURGERY ONE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND KUSISTO CEO 260-484-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 50001907A) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |