Individual
DR. MA. LUISA S SUMABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
117 S MAIN ST, BLUFFTON, IN 46714-2047
(260) 824-9265
(260) 824-9267
Mailing address
117 S MAIN ST, BLUFFTON, IN 46714-2047
(260) 824-9265
(260) 824-9267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042725
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009850
—
IN
Enumeration date
05/01/2006
Last updated
12/16/2008
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