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Organization
UNITED SURGEONS LLC
Active
Organization
UNITED SURGEONS LLC
Active
Other names
Unity Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOLING II MD (CHAIRMAN OF THE BOARD)
(574) 293-3545
Entity
Organization
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 968-0867
(574) 968-0905
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 968-0867
(574) 968-0905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Enumeration date
08/19/2005
Last updated
08/22/2020
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