Healthcare Provider Details

I. General information

NPI: 1821254269
Provider Name (Legal Business Name): FRANK ANTON ZWERNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S MURPHY AVENUE SUITE A
BRAZIL IN
47834-8296
US

IV. Provider business mailing address

1606 N 7TH ST
TERRE HAUTE IN
47804-2780
US

V. Phone/Fax

Practice location:
  • Phone: 812-442-2100
  • Fax: 812-446-4409
Mailing address:
  • Phone: 812-238-7000
  • Fax: 812-242-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02003595A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: