Individual
DR. MARY M MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 E DUPONT RD, SUITE 2, FORT WAYNE, IN 46825-2048
(260) 490-8110
(260) 490-7707
Mailing address
2821 EMERALD LAKE DR, FORT WAYNE, IN 46804-2403
(260) 490-8110
(260) 490-7707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01032404A
IN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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