Organization
PREMIER SURGICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMAR B SHABEEB (OFFICE MANAGER)
(219) 836-9800
Entity
Organization
Contact information
Practice address
9050 COLUMBIA AVE, PREMIER SURGICAL SPECIALISTS PC, MUNSTER, IN 46321-2905
(219) 836-9800
(219) 836-9300
Mailing address
9050 COLUMBIA AVE, PREMIER SURGICAL SPECIALISTS PC, MUNSTER, IN 46321-2905
(219) 836-9800
(219) 836-9300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
01/15/2015
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