Doctor Name: | MRS. MARY C DONLEY |
NPI Number: | 1669467932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01034109 |
Business Practice Address: | 303 S Main St Bluffton, IN - 467142503 |
Business Phone Number: | 2609193567 |
Business Fax Number: | 2609193558 |
Mailing Address: | 7916 W Jefferson Blvd, FORT WAYNE |
State: | IN |
Postal Code: | 468044140 |
Phone Number: | 2604346377 |
Fax Number: | 2604346389 |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01034109 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |