Individual
DR. MARY L BUDZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 XENIA AVE, YELLOW SPRINGS, OH 45387-1600
(937) 767-7369
(937) 767-7703
Mailing address
PO BOX 1144, DAYTON, OH 45401-1144
(937) 259-9900
(937) 259-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102990
—
OH
Enumeration date
04/21/2006
Last updated
11/08/2007
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