Organization
MUNCIE SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BURRELL M.D. (CORPORATION PRESIDENT)
(765) 289-6381
Entity
Organization
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 403, MUNCIE, IN 47303-3409
(765) 289-6381
(765) 289-3883
Mailing address
2525 W UNIVERSITY AVE, SUITE 403, MUNCIE, IN 47303-3409
(765) 289-6381
(765) 289-3883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB3113
RAILROAD MEDICARE
—
Enumeration date
10/24/2006
Last updated
11/09/2007
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