South Shore Ambulatory Surgical Center, LLC
NPI #1588247746 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1588247746
- Entity Type
- Organization
- Organization Name
- South Shore Ambulatory Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 4, 2021
- Last Updated
- May 4, 2021
Practice Location
- Address
- 951 TRANSPORT DR
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-8434
- Phone
- (219) 405-3775
Authorized Official
- Name
- CYNTHIA GRUNDY, DPM
- Title
- MEMBER
- Phone
- (219) 405-3775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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