South Shore Surgical LLC

NPI #1841619954 in Munster, Indiana

Provider Information

NPI Number: 1841619954
Entity Type: Organization
Organization Name: South Shore Surgical LLC
Primary Specialty: Surgery
Enumeration Date: Apr 16, 2014
Last Updated: Apr 16, 2014

Practice Location

Address: 10110 DONALD POWERS DRIVE
Address 2: SUITE 202
City: Munster
State: Indiana
ZIP Code: 46321-4057
Phone: (219) 922-0222

Authorized Official

Name: ANN PELLAR
Title: MANAGER
Phone: (219) 922-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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