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Individual

DR. ROBERT DALE BLEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 353-2021
(260) 479-2990
Mailing address
PO BOX 728, SCHERERVILLE, IN 46375-0728
(219) 663-8110
(219) 663-8115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
010145671A
IN
208600000X
Surgery Physician
Primary
01045671A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201011620A
IN
01
P00881327
RAILROAD MEDICARE
IN
Enumeration date
09/21/2006
Last updated
03/14/2025
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