Individual
DR. ERWIN ZETA MANGUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125052889
IL
207T00000X
Neurological Surgery Physician
Primary
38736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387361
—
SC
Enumeration date
07/31/2008
Last updated
03/16/2018
Update your record
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