Individual
MR. REX ANDREW BLUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4000 TULIP TREE DR, SS-I, PRINCETON, IN 47670-2300
(812) 387-2922
(812) 387-2045
Mailing address
1932 S LAKEWOOD HLS, FRANCISCO, IN 47649-9045
(812) 782-9292
(812) 387-2045
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000288A
IN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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