Individual
TAKUNDA SMILE MUGWISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2003 STULTS RD STE 215, HUNTINGTON, IN 46750-1291
(260) 355-3960
(260) 355-3969
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01076705A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2012
Last updated
11/04/2024
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