Individual
MRS. MARY C DONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 919-3567
(260) 919-3558
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6377
(260) 434-6389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01034109
IN
207R00000X
Internal Medicine Physician
Primary
01034109
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098070
—
IN
Enumeration date
09/13/2005
Last updated
09/15/2020
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