# ST. MARY'S PHYSICIANS' HEALTH GROUP,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richard Gries, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790945335
- **Authorized official:** KAREN KEIL (OPERATIONS MANAGER)
- **Authorized official phone:** (812) 485-1827

## Contact information

- **Practice address:** 11990 S 50 W, HAUBSTADT, IN 47639-8807
- **Practice address phone:** (812) 464-3016
- **Mailing address:** PO BOX 370, HAUBSTADT, IN 47639-0370
- **Mailing address phone:** (812) 464-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01024530A | IN | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 10/23/2009
