Laporte Medical Group Surgical Center, LLC

NPI #1285870303 in La Porte, Indiana

Provider Information

NPI Number
1285870303
Entity Type
Organization
Organization Name
Laporte Medical Group Surgical Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 18, 2008
Last Updated
May 20, 2020

Practice Location

Address
900 I ST
Address 2
SUITE 1
State
Indiana
ZIP Code
46350-5533
Phone
(816) 877-2005

Authorized Official

Name
MR. NEIL WANGSTROM
Title
BOARD CHAIR
Phone
(219) 324-1670

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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