Provider Demographics
NPI:1396011904
Name:BEHREND, FRANK LUDWIG (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LUDWIG
Last Name:BEHREND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 WYNNEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-2829
Mailing Address - Country:US
Mailing Address - Phone:219-464-2955
Mailing Address - Fax:
Practice Address - Street 1:2208 WYNNEWOOD DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-2829
Practice Address - Country:US
Practice Address - Phone:219-464-2955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01023265A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology