Search › Indiana › 207RR0500X
Mary Ann Domingo, M.D
NPI 1053396127 · on the registry since 2005
Practice
- Address
- 6901 N Main St Ste 102
Granger, IN 46530 - Phone
- (574) 647-4500
- Fax
- (574) 647-6354
- Clinicians at this address
- 2
Additional practice sites
- 3220 Beacon Pkwy, Granger, IN
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana