Organization
ST MARGARET MERCY HEALTHCARE CENTERS INC
Active
Organization
ST MARGARET MERCY HEALTHCARE CENTERS INC
Active
Other names
St Margaret Mercy Inpatient Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 932-2300
(219) 852-2502
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200159110U
—
IN
Enumeration date
11/15/2006
Last updated
06/23/2010
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