| NPI | 1285713438 |
|---|---|
| Doing Business As | SOUTH RIDGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |