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1255936761
CROWN POINT SURGICAL SUITES, LLC
CROWN POINT, IN
NPI
1255936761
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Entity Type
Organization
Authorized Contact
BRIAN EVANSON
CEO
219-308-0193
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
CROWN POINT SURGICAL SUITES, LLC
11051 BROADWAY STE B
CROWN POINT, IN 46307-7490
Phone number: 219-308-0193
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Mailing Address
CROWN POINT SURGICAL SUITES, LLC
11051 BROADWAY STE B
CROWN POINT, IN 46307-7490
Phone number:
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