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Organization
ST MARGARET MERCY HEALTHCARE CENTERS
Active
Organization
ST MARGARET MERCY HEALTHCARE CENTERS
Active
Other names
Dyer Family Practice South
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
14785 W 101ST AVE, DYER, IN 46311-3371
(219) 864-2235
(219) 864-1398
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/09/2006
Last updated
06/23/2010
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