Organization
JAMES N.TOPOLGUS MD SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA TOPOLGUS JD (DIRECTOR)
(312) 388-8676
Entity
Organization
Contact information
Practice address
1419 S SARE RD, BLOOMINGTON, IN 47401-4431
(312) 388-8676
Mailing address
1419 S SARE RD, BLOOMINGTON, IN 47401-4431
(312) 388-8676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01022367
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182780A
—
IN
01
—
544310
MEDICARE PTAN
IN
Enumeration date
03/05/2008
Last updated
02/19/2016
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