Individual
MARY PHILLIS MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2908 ORCHARD TREE LN, TOLEDO, OH 43617-2329
(419) 266-4400
Mailing address
7550 LUCERNE DR, SUITE 405, MIDDLEBURG HEIGHTS, OH 44130-6588
(440) 234-8833
(440) 234-3313
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2015-02367
NC
207RI0200X
Infectious Disease Physician
35047142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0749622
—
OH
01
—
440003489
RAILROAD MEDICARE
—
Enumeration date
12/17/2005
Last updated
11/15/2023
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