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Facility Name
IOM Health System LP (dba Lutheran Hospital of Indiana Bariatric Center)
Provider Number
150017; NPI#1306897335
Date approved
09/25/2008
State
IN
Address 1
7950 West Jefferson Boulevard
Address 2
Ft. Wayne, IN 46804-4140
Other Information
ASMBS; Telephone #: 260-435-7098