Summit Surgical Suites, Llc

NPI 1154322410 - Clinic/Center - 261QA1903X

NPI Details
NPI 1154322410
Enumeration Date 08/09/2005
Last Updated 10/02/2014
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name ANNE ANNE
Position ADMINISTRATOR
Phone (260) 434-2022
Fax (260) 434-2023
Practice Location
7920 W JEFFERSON BLVD
SUITE 210
FORT WAYNE IN, 46804-4168, US
Phone (260) 434-2022
Fax (260) 434-2023
Business Location
7920 W JEFFERSON BLVD
SUITE 210
FORT WAYNE IN, 46804-4168, US
Phone (260) 434-2022
Fax (260) 434-2023
Toxanomy
Taxonomy Code 261QA1903X
License State Indiana
License Number 05-003212-1
Remove 1154322410 NPI Number
 

According to our database, Summit Surgical Suites, Llc NPI is 1154322410, taxonomy code is 261QA1903X and license number is 05-003212-1, license state is located at Indiana. Summit Surgical Suites, Llc physically located at 7920 W Jefferson Blvd, Fort Wayne IN, 46804-4168. NPI Number 1033115704 has the healthcare provider type.

1154322410 NPI number is provided on an as is basis without warranty of any kind. 1154322410 is maintained by the National Plan & Provider Enumeration System. The contents of Summit Surgical Suites, Llc are for informational purposes only.