Individual
DR. JAMES MATTHEW BLICKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5322
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075354A
IN
Other
Enumeration date
07/03/2012
Last updated
06/17/2015
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