Individual
MRS. TIA MARIE ZDYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 738-2100
Mailing address
1777 E 105TH AVE, CROWN POINT, IN 46307-7078
(219) 508-1293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28200892A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28200892A
IN
Other
Enumeration date
05/05/2021
Last updated
03/28/2023
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