MRS. Angela Sue Fornkohl Blum, M.D.

NPI #1013032325 in New Castle, Indiana

Provider Information

NPI Number
1013032325
Entity Type
Individual
Name
MRS. Angela Sue Fornkohl Blum, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Mar 20, 2007
Last Updated
Jan 14, 2014

Practice Location

Address
1000 N 16TH ST
Address 2
SUITE G-10
State
Indiana
ZIP Code
47362-4319
Phone
(765) 521-0901

Specialties & Taxonomy Codes

Specialty
Pediatrics

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