Organization
MARYBETH F MCCLURE DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYBETH F MCCLURE DO (PRESIDENT)
(574) 259-5666
Entity
Organization
Contact information
Practice address
1411 LINCOLN WAY W, MISHAWAKA, IN 46544-1626
(574) 259-5666
Mailing address
1411 LINCOLN WAY W, MISHAWAKA, IN 46544-1626
(574) 259-5666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
02001001A
IN
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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