NPI | 1457421836 |
---|---|
Doing Business As | DYER FAMILY PRACTICE SOUTH |
Entity Type | Organization |
Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
208000000X Pediatrics | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2010-06-23 |