NPI 1124013677

Mary C Dynes, MD

Practitioner Diagnostic Radiology Physician Mishawaka, IN

Practice location

Address: 620 W Edison Rd Suite 110, Mishawaka, IN 46545-2784
Phone: (574) 258-1100
Fax: (574) 258-1101

Registered specialties (8)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01055405 (IN)

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Nuclear Radiology Physician

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Pediatric Radiology Physician

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Vascular & Interventional Radiology Physician

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Therapeutic Radiology Physician

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Diagnostic Ultrasound Physician

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Registry record

NPI: 1124013677
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2005
Record last updated: 15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.