Healthcare Provider Details

I. General information

NPI: 1497715890
Provider Name (Legal Business Name): HELEN CATHERINE MABRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12623 ECKEL JUNCTION RD STE 2600
PERRYSBURG OH
43551-1304
US

IV. Provider business mailing address

12623 ECKEL JUNCTION RD STE 2600
PERRYSBURG OH
43551-1304
US

V. Phone/Fax

Practice location:
  • Phone: 567-368-1490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301108801
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number35.120205
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: