Individual
MARCELOS TAFON MBABIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7436 ALEXIS LN, CAMBY, IN 46113-5524
(317) 652-2750
Mailing address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(317) 652-2750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
04/02/2025
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