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Individual

DR. SUSAN BLEASDALE CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
110 S PACA ST # 6N406, BALTIMORE, MD 21201-1642
(410) 328-1580

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01099550A
IN
207RI0200X
Infectious Disease Physician
036109313
IL
207RI0200X
Infectious Disease Physician
D0101485
MD

Other

Enumeration date
03/27/2006
Last updated
05/05/2026
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