Organization
MULTIVERSE SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU ROLAND (AUTHORIZED AGENT)
(336) 623-4545
Entity
Organization
Contact information
Practice address
1220 SPRING ST, JEFFERSONVILLE, IN 47130-3704
(812) 282-8494
Mailing address
1220 SPRING ST, JEFFERSONVILLE, IN 47130-3704
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
08/22/2018
Last updated
04/06/2023
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