Organization
MERRILLVILLE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J STANISH MD (BOARD MEMBER)
(219) 756-4900
Entity
Organization
Contact information
Practice address
101 E. 87TH AVE., MERRILLVILLE, IN 46410
(219) 755-4211
(219) 755-4058
Mailing address
101 E. 87TH AVE., MERRILLVILLE, IN 46410
(219) 755-4211
(219) 755-4058
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
12/05/2007
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