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Organization
ST. MARY MEDICAL CENTER INC
Active
Organization
ST. MARY MEDICAL CENTER INC
Active
Parent organization
ST. MARY MEDICAL CENTER INC
Other names
Michael Kovacich MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY MEDICAL CENTER INC
Authorized official
JANICE RYBA (CEO)
(219) 942-0551
Entity
Organization
Contact information
Practice address
200 E 80TH PLACE, STE 100, MERRILLVILLE, IN 46410-5671
(219) 769-7536
(219) 736-1506
Mailing address
9660 WICKER AVENUE, ST JOHN, IN 46373-9487
(219) 226-2203
(219) 226-2202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
07/11/2024
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