KOMIVI WOMITSO

LAFAYETTE, IN
NPI1588017560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01084238A)
Enumeration Date2016-07-14
Last Update Date2023-09-29
Business Address
KOMIVI WOMITSO MD
2708 FERRY ST
LAFAYETTE, IN 47904-3021
Phone number: 765-449-1555
Mailing Address
KOMIVI WOMITSO MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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