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Organization
SOUTH SHORE AMBULATORY SURGICAL CENTER, LLC
Active
Organization
SOUTH SHORE AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GRUNDY DPM (MEMBER)
(219) 405-3775
Entity
Organization
Contact information
Practice address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
(219) 405-3775
Mailing address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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