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Individual
DR. MARY MAHONEY
Active
Individual
DR. MARY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062186
—
MT
05
—
0557470
—
IA
01
—
07-00036
MEDICA PRIMARY
—
01
—
07-02917
MEDICA CHOICE
—
01
—
1028622
PREFERRED ONE
—
01
—
127306
UCARE
—
01
—
1398216
ARAZ
—
01
—
249J0MA
BLUE CROSS BLUE SHIELD
—
05
—
34291300
—
WI
05
—
579030100
—
MN
01
—
HP33841
HEALTH PARTNERS
—
Enumeration date
10/20/2006
Last updated
10/26/2012
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