Individual provider · NPI-1

Dr. Marlene Clare Bultemeyer, MD

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1083828719
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1083828719
Entity type
Individual (NPI-1)
Name
Dr. Marlene Clare Bultemeyer
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2007
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology01066634AINYes

Other names

  • Marlene C Sarrazine (Former Name)

Practice location

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416 · Fax 260-436-9662

Mailing address

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416 · Fax 260-436-9662

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