Mary Ann R Domingo M.D.

NPI 1053396127 - Internal Medicine - 207RR0500X

NPI Details
NPI 1053396127
Gender Female
Enumeration Date 12/13/2005
Last Updated 03/08/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
6913 N MAIN ST
GRANGER IN, 46530-8039, US
Phone (574) 647-1500
Business Location
SOUTH BEND IN, 46617-1924, US
Phone (574) 647-1610
Taxonomy Code 207RR0500X
License State Indiana
License Number 01061323A
Remove 1053396127 NPI Number

According to our database, Dr. Mary Ann R Domingo M.D. NPI is 1053396127, taxonomy code is 207RR0500X and license number is 01061323A, license state is located at Indiana. Mary Ann R Domingo M.D. physically located at 6913 N Main St, Granger IN, 46530-8039. NPI Number Mary Ann R Domingo M.D. has the Individual type.

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1053396127 NPI number is provided on an as is basis without warranty of any kind. 1053396127 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ann R Domingo M.D. are for informational purposes only.