Organization
NORTHWEST SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN FREEMAN (OWNER)
(219) 882-2000
Entity
Organization
Contact information
Practice address
201 E 5TH AVE STE A, GARY, IN 46402-1300
(219) 882-2000
Mailing address
201 E 5TH AVE STE A, GARY, IN 46402-1300
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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