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Organization

MARION SURGEONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD L KEPPLER M.D. (PRESIDENT)
(765) 664-3916
Entity
Organization

Contact information

Practice address
1395 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-3916
(765) 662-3411
Mailing address
1395 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-3916
(765) 662-3411

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50000622A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100123010A
IN
Enumeration date
12/13/2006
Last updated
06/03/2008
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