Provider Demographics
NPI:1578517553
Name:FRANK, ROBERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:FRANK
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 1:931 RIDGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1755
Mailing Address - Country:US
Mailing Address - Phone:219-924-3377
Mailing Address - Fax:219-513-2017
Practice Address - Street 1:931 RIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1755
Practice Address - Country:US
Practice Address - Phone:219-924-3377
Practice Address - Fax:219-513-2017
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ010437292086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000260146OtherANTHEM
IN194180AMedicare ID - Type Unspecified
IN194180AMedicare PIN
IN000000260146OtherANTHEM