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Individual
MARY FLEMING ACKENBOM
Active
Individual
MARY FLEMING ACKENBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301514645
MI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD451279
PA
Other
Enumeration date
05/21/2010
Last updated
01/30/2026
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