MARY T DEGENEFFE

SOUTH BEND, IN
NPI1700841640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IN  01042506)
Additional Taxonomies208000000X Pediatrics
(Licence: IN  01042506)
208000000X Pediatrics
(Licence: MI  4301084504)
208000000X Pediatrics
(Licence: IL  036086895)
Enumeration Date2006-04-20
Last Update Date2008-07-29
Business Address
-- MARY T DEGENEFFE MD
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1033
Phone number: 574-647-7141
Mailing Address
-- MARY T DEGENEFFE MD
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1033
Phone number: 574-647-7141