Individual
DR. MARY O'HARA FOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2118 25TH ST STE J, COLUMBUS, IN 47201-3240
(812) 372-8426
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006514A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300054316
—
IN
Enumeration date
04/16/2018
Last updated
02/23/2026
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