Organization
GRANT AMBULATORY SURGERY CENTER, LLC
Active
Other names
Grant Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GRANT GILLUM MD (PHYSICIAN/OWNER)
(765) 651-4278
Entity
Organization
Contact information
Practice address
803 W GARDNER DR, MARION, IN 46952-1819
(765) 651-4278
(765) 664-6445
Mailing address
801 W GARDNER DR, MARION, IN 46952-1819
(765) 651-4278
(765) 664-6445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
09/08/2025
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