NPI 1083828719

Marlene Clare Bultemeyer, MD

Practitioner Neurology Physician Fort Wayne, IN

Practice location

Address: 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-9662

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 01066634A (IN)

Other Psychiatry & Neurology providers in Indiana →

Registry record

NPI: 1083828719
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2007
Record last updated: 1 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.