Individual
MARY A. FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 244-0100
(812) 232-1517
Mailing address
PO BOX 9524, TERRE HAUTE, IN 47808-9524
(812) 244-0100
(812) 232-1517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01056361A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200373110
—
IN
Enumeration date
05/23/2005
Last updated
12/15/2010
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