Individual
MARY E. ALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 524-8151
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-05-5901-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729911
—
OH
Enumeration date
08/09/2005
Last updated
01/25/2022
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