OMOTAYO TEMITOPE FAWIBE

FORT WAYNE, IN
NPI1851634554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: IN  01076903A)
Additional Taxonomies2083X0100X Preventive Medicine, Occupational Medicine
(Licence: TX  S5894)
Enumeration Date2013-04-01
Last Update Date2023-07-24
Business Address
Dr. OMOTAYO TEMITOPE FAWIBE MD
3978 NEW VISION DR
FORT WAYNE, IN 46845
Phone number: 260-672-4680
Mailing Address
Dr. OMOTAYO TEMITOPE FAWIBE MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: