Healthcare Provider Details

I. General information

NPI: 1215179643
Provider Name (Legal Business Name): PIERRE ANDRE FRANTZ OVIDE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N MICHIGAN ST 5TH FL
SOUTH BEND IN
46601-1033
US

IV. Provider business mailing address

3245 HEALTH DRIVE SUITE 100
GRANGER IN
46530-3245
US

V. Phone/Fax

Practice location:
  • Phone: 574-647-7275
  • Fax: 574-647-3696
Mailing address:
  • Phone: 574-647-1840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01071535A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01071535A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: