Marlene Clare Bultemeyer M.D.

NPI 1083828719 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1083828719
Gender Female
Enumeration Date 05/10/2007
Last Updated 11/05/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
7956 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4140, US
Phone (260) 436-2416
Fax (260) 436-9662
Business Location
7956 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4140, US
Phone (260) 436-2416
Fax (260) 436-9662
Toxanomy
Taxonomy Code 2084N0400X
License State Indiana
License Number 01066634A
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According to our database, Dr. Marlene Clare Bultemeyer M.D. NPI is 1083828719, taxonomy code is 2084N0400X and license number is 01066634A, license state is located at Indiana. Marlene Clare Bultemeyer M.D. physically located at 7956 W Jefferson Blvd, Fort Wayne IN, 46804-4140. NPI Number Marlene Clare Bultemeyer M.D. has the Individual type.

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1083828719 NPI number is provided on an as is basis without warranty of any kind. 1083828719 is maintained by the National Plan & Provider Enumeration System. The contents of Marlene Clare Bultemeyer M.D. are for informational purposes only.