Surgical Services of Northern Indiana, LLC
Surgical Services of Northern Indiana, LLC is a Surgical Physician Assistant in Granger, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
50744 Pheasant Cove DrGranger, IN 46530-8835
Phone: (574) 261-9444
Fax: (574) 272-2220
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 1000226A (IN) |
|---|
Record details
| NPI number | 1699729111 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Barnard — President · (574) 261-9444 |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 50744 Pheasant Cove Dr, Granger, IN 46530-8835 |