Individual
MARY A. SHENIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5773 IDANA CT, WESTERVILLE, OH 43081-8932
(614) 746-8348
Mailing address
5773 IDANA CT, WESTERVILLE, OH 43081-8932
(614) 746-8348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053423
—
OH
Enumeration date
05/19/2006
Last updated
03/13/2019
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