Organization
SURGICAL SERVICES OF NORTHERN INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BARNARD PA-C (PRESIDENT)
(574) 261-9444
Entity
Organization
Contact information
Practice address
50744 PHEASANT COVE DR, GRANGER, IN 46530-8835
(574) 261-9444
(574) 272-2220
Mailing address
50744 PHEASANT COVE DR, GRANGER, IN 46530-8835
(574) 273-1232
(574) 272-2220
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1000226A
IN
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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