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Individual

DR. MARION A. TRYBULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 E 89TH AVE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
(219) 736-6680
Mailing address
200 E 89TH AVE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
(219) 736-6680

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01045710
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000085042
ANTHEM
IN
01
000000085042
UNICARE
05
200101980
IN
01
200101980A
MOLINA
01
238805
HARMONY HEALTH
01
830003898
TRAVELERS MEDICARE
01
91115213
BLUE CROSS/BLUE SHIELD
IL
01
9210030
ADVOCATE PHO
Enumeration date
12/30/2005
Last updated
02/18/2013
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