Organization
MICHIANA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJIT V PAI M.D. (OWNER)
(574) 855-2223
Entity
Organization
Contact information
Practice address
3212 HICKORY RD, SUITE A, MISHAWAKA, IN 46545-8862
(574) 855-2223
(574) 251-0068
Mailing address
3212 HICKORY RD, SUITE A, MISHAWAKA, IN 46545-8862
(574) 855-2223
(574) 251-0068
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
11/14/2013
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