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
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(291) 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
—
200424790A
—
IN
Enumeration date
01/23/2006
Last updated
06/23/2010
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