Individual
MARY K DONIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 360, SOUTH BEND, IN 46635-1571
(574) 232-4800
(574) 280-4810
Mailing address
6301 UNIVERSITY COMMONS, SUITE 360, SOUTH BEND, IN 46635-1571
(574) 232-4800
(574) 280-4810
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23001421A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085508
ANTHEM PIN
IN
05
—
100338000
—
IN
Enumeration date
12/21/2006
Last updated
08/03/2011
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