Organization
BALDWIN SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL THOMAS HANEY M.D. (PRESIDENT)
(765) 668-8780
Entity
Organization
Contact information
Practice address
110 N BALDWIN AVE, MARION, IN 46952-3536
(765) 668-8780
(765) 668-8782
Mailing address
110 N BALDWIN AVE, MARION, IN 46952-3536
(765) 668-8780
(765) 668-8782
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01051218
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200115420B
—
IN
Enumeration date
11/07/2007
Last updated
11/07/2007
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