# MARY T DEGENEFFE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700841640
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 01042506 | IN | — |
| 208000000X | Pediatrics Physician | 036086895 | IL | — |
| 208000000X | Pediatrics Physician | 4301084504 | MI | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 01042506 | IN | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 07/29/2008