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1316001480
MARYANN THERESE FUMO
MICHIGAN CITY, IN
NPI
1316001480
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Former Name
MARYANN THERESE LUCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01036532A)
Enumeration Date
2006-12-21
Last Update Date
2023-04-13
Business Address
MARYANN THERESE FUMO M.D.
8865 W 400 N STE 130
MICHIGAN CITY, IN 46360-9596
Phone number: 219-879-5143
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Mailing Address
MARYANN THERESE FUMO M.D.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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