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1225473929
IGOR WANKO MBOUMI
INDIANAPOLIS, IN
NPI
1225473929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 01082242A)
Additional Taxonomies
208600000X Surgery
(Licence: WI 68807)
Enumeration Date
2013-05-08
Last Update Date
2023-08-24
Business Address
IGOR WANKO MBOUMI MD
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237-6342
Phone number: 317-865-4800
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Mailing Address
IGOR WANKO MBOUMI MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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