HAROLD MUSTAPHA BACCHUS

FORT WAYNE, IN
NPI1881654523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01034833)
Enumeration Date2006-03-25
Last Update Date2009-12-20
Business Address
Dr. HAROLD MUSTAPHA BACCHUS MD
1719 CREMER AVE
FORT WAYNE, IN 46818-1052
Phone number: 260-490-9150
Mailing Address
Dr. HAROLD MUSTAPHA BACCHUS MD
12002 WOODBOURNE CT
FT WAYNE, IN 46845-1952
Phone number: 260-637-5303
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