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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
THOMAS GRYZBEK (PRESIDENT)
(219) 933-2300
Entity
Organization
Contact information
Practice address
5500 HOHMAN AVENUE, SUITE 2A, HAMMOND, IN 46320-1942
(219) 852-1505
(219) 852-1510
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
09/25/2008
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