Organization
SOUTH SHORE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN PELLAR (MANAGER)
(219) 922-0222
Entity
Organization
Contact information
Practice address
10110 DONALD POWERS DRIVE, SUITE 202, MUNSTER, IN 46321-4057
(219) 922-0222
(219) 922-8899
Mailing address
10110 DONALD POWERS DRIVE, SUITE 202, MUNSTER, IN 46321-4057
(219) 922-0222
(219) 922-8899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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