Organization
ST MARGARET MERCY HEALTHCARE CENTRS, INC.
Active
Other names
Woodmar Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
2450 169TH ST, HAMMOND, IN 46323-2074
(219) 852-2449
(219) 845-5150
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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