Individual
ROBERT STEPHEN BEDNAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01083583
IN
207N00000X
Dermatology Physician
Primary
01083583A
IN
207N00000X
Dermatology Physician
2019009762
MO
Other
Enumeration date
03/30/2015
Last updated
10/14/2022
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