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Organization
ST MARGARET MERCY HEALTHCARE CENTERS, INC
Active
Organization
ST MARGARET MERCY HEALTHCARE CENTERS, INC
Active
Other names
Ear Nose and Throat Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MAPLE (CONTROLLER)
(219) 932-2300
Entity
Organization
Contact information
Practice address
24 JOLIET ST STE 101, DYER, IN 46311-1705
(219) 864-2059
(219) 864-2644
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2268
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
02000967A
IN
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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