SearchIndiana2083X0100X

Omotayo Fawibe, MD

NPI 1851634554 · on the registry since 2013

Practice

Address
3978 New Vision Dr
Fort Wayne, IN 46845
Phone
(260) 672-4680
Fax
(260) 458-5836
Clinicians at this address
13

Registry record

Primary taxonomy
2083X0100X
2083X0100X
Also registered as
2083X0100X
Licence states on file
TX, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana