Organization
GOSHEN ORTHOPEDIC ASSOCIATES, LLC
Active
Other names
North Central Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA D FLAGG (ADMINISTRATOR)
(574) 534-2548
Entity
Organization
Contact information
Practice address
1824 DORCHESTER CT, GOSHEN, IN 46526-6476
(574) 534-2548
(574) 534-3622
Mailing address
1824 DORCHESTER CT, GOSHEN, IN 46526-6476
(574) 534-2548
(574) 534-3622
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/01/2006
Last updated
07/11/2007
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