| NPI | 1225118474 |
|---|---|
| Other Name | WOODLAND HEALTHCARE SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | G THOR THORDARSON Administrator 219-877-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060097701) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |