| St Margaret Mercy Inpatient Specialist | |
|
5454 S Hohman Ave Hammond IN 46320-1931 | |
| (219) 932-2300 | |
| (219) 852-2502 |
| Full Name | St Margaret Mercy Inpatient Specialist |
|---|---|
| Speciality | Internal Medicine |
| Location | 5454 S Hohman Ave, Hammond, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199332300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Margaret Mercy Inpatient Specialist Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | St Margaret Mercy Inpatient Specialist 5454 S Hohman Ave Hammond IN 46320-1931 Ph: (219) 932-2300 |
| NPI Number | 1255403135 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255403135 | NPI | - | NPPES |
| 200159110H | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
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