Individual
DR. MARY D FUGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-5800
(219) 836-3048
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007451A
IN
207Q00000X
Family Medicine Physician
36-092047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L95917
PIN
IL
Enumeration date
07/08/2006
Last updated
11/25/2025
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