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1578568572
SCOTT ALAN BLICKENSDERFER
SOUTH BEND, IN
NPI
1578568572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 02001398A)
Enumeration Date
2005-06-16
Last Update Date
2014-03-06
Business Address
Dr. SCOTT ALAN BLICKENSDERFER D.O.
6301 UNIVERSITY COMMONS STE 350
SOUTH BEND, IN 46635-1571
Phone number: 574-234-4100
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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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