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1295751311
TRICOUNTY SURGICAL ASSOC., PC
PORTLAND, IN
NPI
1295751311
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Entity Type
Organization
Authorized Contact
HERMAN BURGERMEISTER
President
260-726-2890
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 50003707A)
Enumeration Date
2006-07-14
Last Update Date
2020-08-22
Business Address
TRICOUNTY SURGICAL ASSOC., PC
510 W VOTAW ST STE B
PORTLAND, IN 47371-1322
Phone number: 260-726-2890
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Mailing Address
TRICOUNTY SURGICAL ASSOC., PC
510 W VOTAW ST STE B
PORTLAND, IN 47371-1322
Phone number: 260-726-2890
Copy
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