Provider Demographics
NPI:1881673200
Name:HAERR, MARY FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY FRANCES
Middle Name:
Last Name:HAERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1611 S GREEN RD
Mailing Address - Street 2:#205
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-4128
Mailing Address - Country:US
Mailing Address - Phone:216-381-3880
Mailing Address - Fax:216-381-8276
Practice Address - Street 1:1611 S GREEN RD
Practice Address - Street 2:#205
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-4128
Practice Address - Country:US
Practice Address - Phone:216-381-3880
Practice Address - Fax:216-381-8276
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35058524H207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341289147OtherTAX ID
OH341289147OtherTAX ID
OHB23239Medicare UPIN