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Organization
VISIONARY SURGERY CENTER, LLC
Active
Organization
VISIONARY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MALLOY (ADMINISTRATOR)
(417) 447-4484
Entity
Organization
Contact information
Practice address
VISIONARY SURGERY CENTER, LLC, 4335 EDISON LAKES PKWY, MISHAWAKA, IN 46545
(417) 447-4484
Mailing address
VISIONARY SURGERY CENTER, LLC, 4335 EDISON LAKES PKWY, MISHAWAKA, IN 46545
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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