Provider Demographics
NPI:1700856556
Name:VANKO, MARY FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:FRANCES
Last Name:VANKO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:280 EAST 90TH DRIVE
Mailing Address - Street 2:EASTON COURT 2ND FLOOR WEST SIDE
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8102
Mailing Address - Country:US
Mailing Address - Phone:219-769-7650
Mailing Address - Fax:219-769-7689
Practice Address - Street 1:280 EAST 90TH DRIVE
Practice Address - Street 2:EASTON COURT 2ND FLOOR WEST SIDE
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8102
Practice Address - Country:US
Practice Address - Phone:219-769-7650
Practice Address - Fax:219-769-7689
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2009-07-10
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Provider Licenses
StateLicense IDTaxonomies
IN01046010A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200122100CMedicaid
IN200122100CMedicaid
FO1987Medicare UPIN