Individual
IGOR WANKO MBOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237-6342
(317) 865-4800
(317) 865-4806
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082242A
IN
208600000X
Surgery Physician
68807
WI
Other
Enumeration date
05/08/2013
Last updated
08/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us