Individual
DR. MARY HOPE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551
Mailing address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01066608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640442
BCBS BMG SOUTHEAST
IN
01
—
000000640863
BCBS BMG CENTRAL
IN
01
—
000000789444
BCBS BMG CENTENNIAL
IN
05
—
200969080
—
IN
Enumeration date
03/08/2007
Last updated
01/16/2019
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