Organization
SURGERY CENTER OF MUNSTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WAGNER (BUSINESS MANAGER)
(219) 961-9621
Entity
Organization
Contact information
Practice address
9200 CALUMET AVE STE S200, MUNSTER, IN 46321-2889
(219) 961-9621
Mailing address
9200 CALUMET AVE STE S200, MUNSTER, IN 46321-2889
(219) 961-9621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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