Organization
ST MARGARET MERCY HEALTHCARE CENTERS
Active
Other names
Munster Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
8242 CALUMET AVE, MUNSTER, IN 46321-1758
(219) 836-5738
(219) 836-5782
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2297
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01024290A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504980
—
IN
Enumeration date
07/29/2010
Last updated
08/18/2010
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