NPI | 1801968706 |
---|---|
Doing Business As | PHYSICIAN OUTPATIENT CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS GRYZBEK President 219-932-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2006-11-15 |
Last Update Date | 2010-01-05 |