| NPI | 1902198831 |
|---|---|
| Doing Business As | ST MARY CARE NETWORK PORTER COUNTY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JANICE L RYBA CEO 219-942-0551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |