| Certified Surgeons, Inc. | |
|
1 S Broadway Peru IN 46970-2231 | |
| (765) 472-7700 | |
| (765) 472-7700 |
| Full Name | Certified Surgeons, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 S Broadway, Peru, Indiana |
| Authorized Official Name and Position | Tristan Vaun Stonger (OWNER) |
| Authorized Official Contact | 7654727700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Certified Surgeons, Inc. 1 S Broadway Peru IN 46970-2231 Ph: (765) 472-7700 | Certified Surgeons, Inc. 1 S Broadway Peru IN 46970-2231 Ph: (765) 472-7700 |
| NPI Number | 1427196476 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427196476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 01031765A (Indiana) | Primary |
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