Individual
MARY EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, B1-380 TC, ANN ARBOR, MI 48109-5305
(734) 763-7919
(734) 763-9298
Mailing address
12539 ST CROIX PL, MIDLOTHIAN, VA 23114-3265
(703) 608-5907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101261941
VA
390200000X
Student in an Organized Health Care Education/Training Program
4301102521
MI
Other
Enumeration date
06/10/2013
Last updated
09/21/2023
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