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NPI Verification

National Provider Identifier: 1578568572

Scott Alan Blickensderfer, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Urology

Code: 208800000X

Practice Address

6301 UNIVERSITY COMMONS

STE 350

SOUTH BEND, IN 466351571

Phone: 574-234-4100

NPI Enumeration Date

June 16, 2005

NPI Number

1578568572

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry