# SOUTHERN INDIANA SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942314554
- **Authorized official:** MICHAEL DORENBUSCH MD (MD)
- **Authorized official phone:** (812) 372-2245

## Contact information

- **Practice address:** 2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
- **Practice address phone:** (812) 372-2245
- **Mailing address:** 2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
- **Mailing address phone:** (812) 372-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 05/23/2023