# THOMAS R GRUSZYNSKI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THOMAS R GRUSZYNSKI MD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578756060
- **Legal business name:** THOMAS R GRUSZYNSKI MD INC
- **Authorized official:** DR. THOMAS R GRUSZYNSKI MD (PHYSICIAN)
- **Authorized official phone:** (574) 234-2128

## Contact information

- **Practice address:** 621 MEMORIAL DRIVE, SUITE 616, SOUTH BEND, IN 46601
- **Practice address phone:** (574) 234-2128
- **Practice address fax:** (574) 234-4775
- **Mailing address:** 621 MEMORIAL DRIVE, SUITE 616, SOUTH BEND, IN 46601
- **Mailing address phone:** (574) 234-2128
- **Mailing address fax:** (574) 234-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C1023429A | IN | Yes |

## Other

- **Enumeration date:** 08/20/2007
- **Last updated:** 10/28/2007