Individual
WILLIAM H. GIRICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2150 GETTLER ST STE 255, DYER, IN 46311-2381
(219) 864-2235
(219) 864-2135
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055431A
IN
207Q00000X
Family Medicine Physician
036106682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090000854
BCBS GROUP NUMBER
IL
05
—
200383670
—
IN
Enumeration date
08/16/2005
Last updated
08/10/2023
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