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Dr. Mary Ann R Domingo, MD
Rheumatology Physician in Granger, Indiana
NPI 1053396127

Mary Ann R Domingo is a Rheumatology Physician based in South Bend, IN and is specialized in Rheumatology. Mary Ann R Domingo practices in Granger, IN and has the professional credentials of MD. The NPI Number for Mary Ann R Domingo is 1053396127 and holds a License No. 01061323A (Indiana).

The current practice location address for Mary Ann R Domingo is 6901 N Main St Ste 102, Granger, IN and can be reached out via phone at 574-647-4500 and via fax at 574-647-6354.

Location: 6901 N Main St Ste 102, Granger, IN, 46617-1924
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Provider Profile Details
NPI Number
1053396127
Provider Name
Mary Ann R Domingo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6901 N Main St Ste 102, Granger, IN, 46617-1924
Phone Number
574-647-4500
Fax Number
574-647-6354
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000803598 01 IN BCBS MAIN STREET
200537970 05 IN
institution
Provider Business Practice Location Address Details
Address
6901 N Main St Ste 102
City
State
Zip
46530-8022
Phone Number
574-647-4500
Fax Number
574-647-6354
person
Provider Business Mailing Address Details
Address
6901 N Main St Ste 102
City
State
Zip
46530-8022
Phone Number
574-647-4500
Fax Number
574-647-6354
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
License No.
01061323A (Indiana)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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