Provider Demographics
NPI:1821254269
Name:ZWERNER, FRANK ANTON (DO)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ANTON
Last Name:ZWERNER
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 1:1606 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-2780
Mailing Address - Country:US
Mailing Address - Phone:812-238-7000
Mailing Address - Fax:812-242-4590
Practice Address - Street 1:115 S MURPHY AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:BRAZIL
Practice Address - State:IN
Practice Address - Zip Code:47834-8296
Practice Address - Country:US
Practice Address - Phone:812-442-2100
Practice Address - Fax:812-446-4409
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003595A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000721787OtherANTHEM
IN200975210Medicaid
IN200975210Medicaid