Organization
ST MARGARET MERCY HEALTHCARE CENTERS INC
Active
Other names
St Margaret Mercy Inpatient Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 933-2300
Entity
Organization
Contact information
Practice address
5454 S HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 932-2300
(219) 852-2502
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200159110H
—
IN
Enumeration date
11/15/2006
Last updated
06/23/2010
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