Organization
WOODLAND HEALTHCARE LLC
Active
Other names
Woodland Healthcare SurgiCenter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (ADMINISTRATOR)
(219) 877-2222
Entity
Organization
Contact information
Practice address
8865 W 400 N STE 100, MICHIGAN CITY, IN 46360-9223
(219) 877-2222
(219) 877-2220
Mailing address
8865 W 400 N STE 100, MICHIGAN CITY, IN 46360-9223
(219) 877-2222
(219) 877-2220
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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