| NPI | 1558785683 |
|---|---|
| Doing Business As | INDIAN LAKE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS GAUTSCH CEO 615-418-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-08-19 |