Organization
ASSOCIATED SURGEONS AND PHYSICIANS LLC
Active
Parent organization
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Other names
Indiana Wound Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Authorized official
TRISH WARREN (CFO)
(260) 432-4400
Entity
Organization
Contact information
Practice address
700 BROADWAY FL 2, FORT WAYNE, IN 46802-1402
(260) 424-9000
(260) 425-3029
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6884
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201338430
—
IN
Enumeration date
10/24/2012
Last updated
06/13/2016
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