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Organization
INDIANA SKIN CANCER AMBULATORY SURGICAL CENTER LLC
Active
Organization
INDIANA SKIN CANCER AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RAYMOND BERNAT MD (OWNER)
(330) 965-8760
Entity
Organization
Contact information
Practice address
701 EAST COUNTY LINE ROAD, STE 208, GREENWOOD, IN 46143
(317) 859-8970
(317) 859-8977
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
(330) 947-6021
(330) 965-9325
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/15/2007
Last updated
07/16/2026
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