Provider Demographics
NPI:1023219227
Name:PIASKOWY, FRANK LOUIS (DO)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LOUIS
Last Name:PIASKOWY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 RIETH BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-5843
Mailing Address - Country:US
Mailing Address - Phone:574-875-4914
Mailing Address - Fax:
Practice Address - Street 1:2120 RIETH BLVD
Practice Address - Street 2:STE C
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-5843
Practice Address - Country:US
Practice Address - Phone:574-875-4914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN791E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine