SCOTT ALAN BLICKENSDERFER

SOUTH BEND, IN
NPI1578568572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IN  02001398A)
Enumeration Date2005-06-16
Last Update Date2014-03-06
Business Address
Dr. SCOTT ALAN BLICKENSDERFER D.O.
6301 UNIVERSITY COMMONS STE 350
SOUTH BEND, IN 46635-1571
Phone number: 574-234-4100
Mailing Address
Dr. SCOTT ALAN BLICKENSDERFER D.O.
6301 UNIVERSITY COMMONS STE 230
SOUTH BEND, IN 46635-1571
Phone number: 574-251-2100
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