| NPI | 1780331769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KRISHER Director, Outpatient Surgery Center 574-266-4173 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-10-07 |