Healthcare Provider Details

I. General information

NPI: 1275110231
Provider Name (Legal Business Name): MARY FRANCES DONOVAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UW HOSPITAL & CLINICS 600 HIGHLAND AVE
MADISON WI
53792-1972
US

IV. Provider business mailing address

8414 NAAB RD STE 210
INDIANAPOLIS IN
46260-1972
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-6400
  • Fax:
Mailing address:
  • Phone: 317-338-7510
  • Fax: 317-338-7540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number8191421
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: