NPI | 1245309376 |
---|---|
Doing Business As | WOODMAR CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
208600000X Surgery | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |