LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC

LA PORTE, IN
NPI1285870303
Entity TypeOrganization
Authorized ContactNEIL WANGSTROM
Board Chair
219-324-1670
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2008-12-18
Last Update Date2020-05-20
Business Address
LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC
900 I ST SUITE 1
LA PORTE, IN 46350-5533
Phone number: 816-877-2005
Mailing Address
LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC
900 I ST SUITE 1
LA PORTE, IN 46350-5533
Phone number: 219-324-1670
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