DR. Stanley Wayne Blom PH.D.

  • NPI 1538119912
According to our database, the NPI number for DR. Stanley Wayne Blom PH.D. is 1538119912 and activated since 18 years ago. DR. Stanley Wayne Blom PH.D. is an individual provider who specializes in Clinical, and the primary practice location is 150 W Angela Blvd, South Bend, IN 46617. You can also contact DR. Stanley Wayne Blom PH.D. via telephone number is (574) 251-1286. Provider NPI information was last updated on 08/12/2019.

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Overview of DR. Stanley Wayne Blom PH.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/10/2006
  • Last updated: 08/12/2019

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 20040666A
  • License State: IN

Provider Mailing Address

  • Address: 150 W Angela Blvd
    South Bend, IN 46617
  • Phone: 574-251-1286
  • Fax: 574-232-5386

Provider Practice Location

  • Address: 150 W Angela Blvd
    South Bend, IN 46617
  • Phone: 574-251-1286
  • Fax: 574-232-5386

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 20040666A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 200008720
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Stanley Wayne Blom PH.D.?
  • A: The npi number for DR. Stanley Wayne Blom PH.D. is 1538119912.
  • Q: What are DR. Stanley Wayne Blom PH.D.'s specialties?
  • A: DR. Stanley Wayne Blom PH.D.'s specialties are Clinical and different specialities.
  • Q: What is the medical license for DR. Stanley Wayne Blom PH.D.?
  • A: The medical license number for DR. Stanley Wayne Blom PH.D. is 20040666A and issued in IN in USA.
  • Q: Where is DR. Stanley Wayne Blom PH.D. practice location?
  • A: DR. Stanley Wayne Blom PH.D. is practicing at 150 W Angela Blvd, South Bend, IN 46617.
  • Q: How to contact DR. Stanley Wayne Blom PH.D.?
  • A: You can contact DR. Stanley Wayne Blom PH.D. via 574-251-1286.
Medicare Specialty
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