Organization
ST. MARGARET MERCY HEALTHCARE CENTERS, INC
Active
Organization
ST. MARGARET MERCY HEALTHCARE CENTERS, INC
Active
Other names
Munster Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 933-2300
Entity
Organization
Contact information
Practice address
8242 CALUMET AVENUE, MUNSTER, IN 46321-1704
(219) 836-6166
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01026776A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504980
—
IN
Enumeration date
01/10/2007
Last updated
11/05/2008
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