Organization
UNITED SURGEONS LLC
Active
Other names
Unity Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOLING II MD (CHAIRMAN OF THE BOARD)
(574) 293-3545
Entity
Organization
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 968-0867
(574) 968-0905
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 968-0867
(574) 968-0905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Enumeration date
08/19/2005
Last updated
08/22/2020
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