SOUTH BEND SPECIALTY SURGERY CENTER, LLC

GRANGER, IN
NPI1992058325
Entity TypeOrganization
Authorized ContactRALPH E LANTZ
Administrator
574-606-6329
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2012-10-23
Last Update Date2013-07-17
Business Address
SOUTH BEND SPECIALTY SURGERY CENTER, LLC
335 FLORENCE AVE SUITE 1B
GRANGER, IN 46530-8049
Phone number: 574-217-0058
Mailing Address
SOUTH BEND SPECIALTY SURGERY CENTER, LLC
335 FLORENCE AVE SUITE 1B
GRANGER, IN 46530-8049
Phone number: 574-217-0058