Blandine B Bustamante M.D.

NPI 1093799546 - Pathology - 207ZP0102X

NPI Details
NPI 1093799546
Gender Female
Enumeration Date 11/29/2005
Last Updated 04/29/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
2200 RANDALLIA DR
FT WAYNE IN, 46805-4638, US
Phone (260) 424-2195
Fax
Business Location
2458 LAKE AVE
FORT WAYNE IN, 46805-5406, US
Phone (260) 424-2195
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State Indiana
License Number 01042290A
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According to our database, Blandine B Bustamante M.D. NPI is 1093799546, taxonomy code is 207ZP0102X and license number is 01042290A, license state is located at Indiana. Blandine B Bustamante M.D. physically located at 2200 Randallia Dr, Ft Wayne IN, 46805-4638. NPI Number Blandine B Bustamante M.D. has the Individual type.

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1093799546 NPI number is provided on an as is basis without warranty of any kind. 1093799546 is maintained by the National Plan & Provider Enumeration System. The contents of Blandine B Bustamante M.D. are for informational purposes only.