Organization
TRICOUNTY SURGICAL ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN BURGERMEISTER MD (PRESIDENT)
(260) 726-2890
Entity
Organization
Contact information
Practice address
510 W VOTAW ST STE B, PORTLAND, IN 47371-1322
(260) 726-2890
(260) 726-3131
Mailing address
510 W VOTAW ST STE B, PORTLAND, IN 47371-1322
(260) 726-2890
(260) 726-3131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50003707A
IN
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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