Organization
MARY F. NEVIN, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NEVIN MD (AUTHORIZED REPRESENTATIVE)
(607) 426-7770
Entity
Organization
Contact information
Practice address
445 E WATER ST, ELMIRA, NY 14901-3410
(607) 734-2067
Mailing address
255 WEST MICIGAN AVENUE, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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