Individual
DR. MARY ELLEN LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459
(937) 848-4850
(937) 848-4858
Mailing address
6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459
(937) 848-4850
(937) 848-4858
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-063358
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065924
—
OH
Enumeration date
07/06/2005
Last updated
01/18/2021
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