Provider Demographics
NPI:1710908181
Name:FIGARO, MARY KATHLEEN (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHLEEN
Last Name:FIGARO
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Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:4620 E 53RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3627
Mailing Address - Country:US
Mailing Address - Phone:563-424-6306
Mailing Address - Fax:563-424-6602
Practice Address - Street 1:4620 E 53RD ST STE 200
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3627
Practice Address - Country:US
Practice Address - Phone:615-424-6306
Practice Address - Fax:563-424-6602
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2018-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA41252207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.136974OtherSTATE LICENCE
IA41252OtherLICENSE