| NPI | 1659448314 |
|---|---|
| Doing Business As | ST JOHN FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-01-05 |