Healthcare Provider Details

I. General information

NPI: 1235139320
Provider Name (Legal Business Name): FRANK C TOEPP DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E JEFFERSON BLVD
SOUTH BEND IN
46617-2902
US

IV. Provider business mailing address

50710 CARRINGTON PLACE CT
SOUTH BEND IN
46637-2311
US

V. Phone/Fax

Practice location:
  • Phone: 574-287-5859
  • Fax: 574-287-4987
Mailing address:
  • Phone: 574-272-1897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000213
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: