Organization
LOGANSPORT SURGICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD STEVEN WEINSTEIN MD (PRESIDENT)
(574) 722-3636
Entity
Organization
Contact information
Practice address
820 FULTON ST, LOGANSPORT, IN 46947
(574) 722-3636
(574) 732-0754
Mailing address
PO BOX 299, 820 FULTON ST, LOGANSPORT, IN 46947
(574) 722-3636
(574) 732-0754
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50001296A
IN
Other
Enumeration date
02/02/2006
Last updated
08/22/2020
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