Individual
DR. RENEE ELIZABETH BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11143 PARKVIEW PLAZA DR STE 207, FORT WAYNE, IN 46845-1728
(260) 373-8000
(260) 266-5379
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041648A
IN
Other
Enumeration date
03/11/2011
Last updated
08/19/2019
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