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Individual

MARY C GOLUBSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
901 MACARTHUR BOULEVARD, MUNSTER, IN 46321-2901
(219) 836-1600
(219) 513-1127
Mailing address
901 MACARTHUR BOULEVARD, ANESTHESIA DEPARTMENT, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28149952A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000192506
ANTHEM BCBS
IN
05
200332010A
IN
Enumeration date
03/01/2007
Last updated
09/10/2020
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