Organization
ST MARGARET MERCY HEALTHCARE CENTERS
Active
Other names
Wound Healing & Prevention Institute
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 933-2300
Entity
Organization
Contact information
Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2666
(219) 933-2667
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504980E
—
IN
01
—
90000854
BCBSIL
IL
Enumeration date
02/18/2009
Last updated
02/04/2011
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