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Dr. Janelle Ruth Blickensderfer, DO
Obstetrics & Gynecology Physician in South Bend, Indiana
NPI 1477505543

Janelle Ruth Blickensderfer is a Obstetrics & Gynecology Physician based in South Bend, IN. Janelle Ruth Blickensderfer practices in South Bend, IN and has the professional credentials of DO. The NPI Number for Janelle Ruth Blickensderfer is 1477505543 and holds a License No. 02001307A (Indiana).

The current practice location address for Janelle Ruth Blickensderfer is 515 N Lafayette Blvd, South Bend, IN and can be reached out via phone at 574-232-2037 and via fax at 574-232-1420.

Location: 515 N Lafayette Blvd, South Bend, IN, 46601-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477505543
Provider Name
Janelle Ruth Blickensderfer
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
515 N Lafayette Blvd, South Bend, IN, 46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100339290A 05 IN
institution
Provider Business Practice Location Address Details
Address
515 N Lafayette Blvd
City
South Bend
State
Indiana
Zip
46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
person
Provider Business Mailing Address Details
Address
515 N Lafayette Blvd
City
South Bend
State
Indiana
Zip
46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
02001307A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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