Organization
DEARBORN COUNTY SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A KROGER ST, CMA (PRACTICE MANAGER)
(812) 537-5772
Entity
Organization
Contact information
Practice address
368 BIELBY RD, SUITE 100, LAWRENCEBURG, IN 47025-1099
(812) 537-5772
(812) 537-3936
Mailing address
368 BIELBY RD, SUITE100, LAWRENCEBURG, IN 47025-2774
(812) 537-5772
(812) 537-3936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094180
—
IN
05
—
4401214
—
TN
Enumeration date
10/19/2006
Last updated
11/10/2011
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