Organization
SURGICAL ASSOCIATES OF NORTHWEST INDIANA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J STANISH M.D. (PRESIDENT/CEO)
(219) 756-4900
Entity
Organization
Contact information
Practice address
101 E 87TH AVE, SUITE 420, MERRILLVILLE, IN 46410-7335
(219) 756-4900
(219) 660-4108
Mailing address
101 E 87TH AVE, SUITE 420, MERRILLVILLE, IN 46410-7335
(219) 756-4900
(219) 660-4108
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200126440
—
IN
Enumeration date
10/05/2006
Last updated
11/04/2009
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