Organization
MARYANN T. FUMO PC
Active
Organization
MARYANN T. FUMO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN THERESE FUMO M.D. (OWNER)
(219) 879-0333
Entity
Organization
Contact information
Practice address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 879-0333
(219) 879-0325
Mailing address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 879-0333
(219) 879-0325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036532A
IN
Other
Enumeration date
01/24/2007
Last updated
10/25/2007
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