Organization
PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EDWARD WEBER JR. MD (PRESIDENT & CHAIR OF GOVERNING BODY)
(812) 336-6060
Entity
Organization
Contact information
Practice address
1455 W 2ND STREET, BLOOMINGTON, IN 47403
(812) 336-6060
(812) 333-7760
Mailing address
PO BOX 1148, BLOOMINGTON, IN 47402-1148
(812) 336-6060
(812) 333-7760
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
50003776A
IN
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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