Provider Demographics
NPI:1629052006
Name:DURBIN, MARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:A
Last Name:DURBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 MULHOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-4208
Mailing Address - Country:US
Mailing Address - Phone:989-895-9500
Mailing Address - Fax:989-895-2520
Practice Address - Street 1:714 S TRUMBULL ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-4217
Practice Address - Country:US
Practice Address - Phone:989-895-9500
Practice Address - Fax:989-895-2520
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2022-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072766207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1020871OtherMCLAREN
MI0994381OtherHEALTH PLUS
MI1020871OtherHEALTH ADVANTAGE
MI1600910761OtherBLUE CROSS BLUE SHIELD OF
MI1020871OtherMCLAREN