Organization
ST. MARGARET MERCY HEALTHCARE CENTERS INC
Active
Organization
ST. MARGARET MERCY HEALTHCARE CENTERS INC
Active
Other names
St. Margaret Mercy Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 933-2270
(219) 852-2515
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(800) 222-1442
(517) 787-7122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200424790B
—
IN
Enumeration date
01/23/2007
Last updated
06/23/2010
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