Organization
UNITED SURGEONS, LLC
Active
Other names
Unity Physicians Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MACKEN-MARBLE (CEO)
(574) 231-6800
Entity
Organization
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1414
(574) 231-6800
(574) 231-6845
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1414
(574) 231-6800
(574) 231-6845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/04/2020
Last updated
12/10/2020
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