| NPI | 1720157779 |
|---|---|
| Doing Business As | OMNI PHYSICIAN SUITES |
| Entity Type | Organization |
| Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-01-05 |