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Organization

PLASTIC SURGERY CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN EDWARD ZUCKER M.D (PRESIDENT)
(574) 232-3919
Entity
Organization

Contact information

Practice address
621 MEMORIAL DR, SUITE 511, SOUTH BEND, IN 46601-1063
(574) 232-3919
Mailing address
621 MEMORIAL DR, SUITE 511, SOUTH BEND, IN 46601-1063
(574) 232-3919

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/09/2007
Last updated
12/15/2009
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