Individual
MR. CESAR MIKELS LABITAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6920 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2206
(219) 763-8112
(219) 764-3251
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037915A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209700
—
IN
Enumeration date
08/30/2006
Last updated
04/15/2014
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