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1528044625
INDIANA SURGICAL SPECIALISTS, LLC
FORT WAYNE, IN
NPI
1528044625
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Entity Type
Organization
Authorized Contact
RICHARD HIVELY
Business Manager
260-484-9612
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2005-12-20
Last Update Date
2008-07-29
Business Address
INDIANA SURGICAL SPECIALISTS, LLC
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845-1715
Phone number: 260-484-9611
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Mailing Address
INDIANA SURGICAL SPECIALISTS, LLC
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845-1715
Phone number: 260-484-9611
Copy
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