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Individual

SHERMAN GAURANO IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 N TILLOTSON AVE, MUNCIE, IN 47304-3987
(765) 747-3888
(765) 288-6139
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME88710
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201269000
IN
05
291761100
FL
01
P00250278
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/18/2006
Last updated
09/11/2025
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