Omotayo Fawibe MD LLC
NPI #1295494029 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1295494029
- Entity Type
- Organization
- Organization Name
- Omotayo Fawibe MD LLC
- Primary Specialty
- Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 14726 AMERA CIR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-0027
- Phone
- (832) 606-7941
Authorized Official
- Name
- OMOTAYO FAWIBE
- Title
- OWNER
- Phone
- (832) 606-7941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine |
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