IGOR WANKO MBOUMI

INDIANAPOLIS, IN
NPI1225473929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01082242A)
Additional Taxonomies208600000X Surgery
(Licence: WI  68807)
Enumeration Date2013-05-08
Last Update Date2023-08-24
Business Address
IGOR WANKO MBOUMI MD
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237-6342
Phone number: 317-865-4800
Mailing Address
IGOR WANKO MBOUMI MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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