Individual
MRS. REBECCA MARIE BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3919 W JEFFERSON BLVD STE 25A, FORT WAYNE, IN 46804-6811
(260) 436-7722
(260) 459-0012
Mailing address
18028 FOGEL RD, CHURUBUSCO, IN 46723-9213
(260) 312-7733
(855) 284-1343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000655A
IN
Other
Enumeration date
09/27/2006
Last updated
12/02/2025
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