St Margaret Mercy Healthcare Centers, Inc.

NPI #1841379328 in Lowell, Indiana

Provider Information

NPI Number: 1841379328
Entity Type: Organization
Organization Name: St Margaret Mercy Healthcare Centers, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Nov 3, 2006
Last Updated: Jan 5, 2010

Practice Location

Address: 2068 LUCAS PKWY
City: Lowell
State: Indiana
ZIP Code: 46356-2169
Phone: (219) 696-8200

Authorized Official

Name: THOMAS GRYZBEK
Title: PRESIDENT
Phone: (219) 932-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Family Medicine	207Q00000X	Primary

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