# MARY IVEY MD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Obstetrics and Gynecology of Manistee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891970505
- **Authorized official:** DR. MARY A IVEY M.D. (CEO)
- **Authorized official phone:** (231) 398-0222

## Contact information

- **Practice address:** 1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
- **Practice address phone:** (231) 398-0222
- **Practice address fax:** (231) 398-0225
- **Mailing address:** 1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
- **Mailing address phone:** (231) 398-0222
- **Mailing address fax:** (231) 398-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301074849 | MI | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/02/2008