Individual
PETER B BLANKENHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 W 86TH ST, STE. 200, INDIANAPOLIS, IN 46260-1947
(317) 872-6551
(317) 875-7329
Mailing address
2010 W 86TH ST, STE. 200, INDIANAPOLIS, IN 46260-1947
(317) 872-6551
(317) 875-7329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068270
—
IN
Enumeration date
02/14/2006
Last updated
11/18/2025
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