Blandine B Bustamante, M.D.

NPI #1093799546 in Ft Wayne, Indiana

Provider Information

NPI Number
1093799546
Entity Type
Individual
Name
Blandine B Bustamante, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pathology - Anatomic Pathology & Clinical Pathology
Credential
M.D.
Enumeration Date
Nov 29, 2005
Last Updated
Apr 29, 2010

Practice Location

Address
2200 RANDALLIA DR
State
Indiana
ZIP Code
46805-4638
Phone
(260) 424-2195

Specialties & Taxonomy Codes

Specialty
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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