Individual
MARY ELIZABETH MCCRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9469
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01087597A
IN
2085R0202X
Diagnostic Radiology Physician
11016287A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/03/2010
Last updated
11/02/2022
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