Organization
SOUTH SHORE AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GRUNDY DPM (MEMBER)
(219) 405-3775
Entity
Organization
Contact information
Practice address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
(219) 405-3775
Mailing address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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