Provider Demographics
NPI:1235139320
Name:TOEPP, FRANK C (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:TOEPP
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50710 CARRINGTON PLACE CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-2311
Mailing Address - Country:US
Mailing Address - Phone:574-272-1897
Mailing Address - Fax:
Practice Address - Street 1:727 E JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2902
Practice Address - Country:US
Practice Address - Phone:574-287-5859
Practice Address - Fax:574-287-4987
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000213213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T35006Medicare UPIN
IN725490Medicare ID - Type Unspecified