Organization
DUNE GRASS SURGICAL SUITES, LLC
Active
Other names
Dune Grass Surgical Suites, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN EIDMAN (FACILITY ADMINISTRATOR)
(219) 331-6731
Entity
Organization
Contact information
Practice address
505 PINTAIL TRACE, CHESTERTON, IN 46304
(219) 799-2029
(219) 799-2029
Mailing address
505 PINTAIL TRACE, CHESTERTON, IN 46304
(219) 799-2029
(219) 799-2028
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
02/13/2023
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