Individual
DR. MARY A IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14700 PARK AVE, CHARLEVOIX, MI 49720-1930
(231) 547-4477
(231) 547-4753
Mailing address
14700 PARK AVE, CHARLEVOIX, MI 49720-1930
(231) 547-4477
(231) 547-4753
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301074849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4644884
—
MI
Enumeration date
11/03/2006
Last updated
09/11/2007
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