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Individual

ROBERT BLAINE KOLBE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1144 W PLYMOUTH ST, BREMEN, IN 46506-1842
(574) 546-5363
(574) 546-2575
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031578
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215338
BCBS
IN
01
000000513302
BCBS
IN
05
100358240
IN
Enumeration date
06/05/2006
Last updated
11/17/2023
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