| Doctor Name: | MS. MARY FRANCIS WOMMER |
| NPI Number: | 1760640171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.T. (R) |
| License Number: | 106230 |
| Business Practice Address: | 100 Lake Traverse Dr Sisseton, SD - 572627046 |
| Business Phone Number: | 6057423775 |
| Business Fax Number: | 6056983607 |
| Mailing Address: | 100 Lake Traverse Dr, Po Box 189 SISSETON |
| State: | SD |
| Postal Code: | 572627046 |
| Phone Number: | 6057423775 |
| Fax Number: | 6056983607 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 106230 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |