Individual
J FRANK VORMOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 W VOTAW ST, PORTLAND, IN 47371-1302
(260) 726-7616
(260) 726-8165
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035642
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087289
ANTHEM
—
01
—
080075501
MEDICARE RR RETIREMENT
—
01
—
351730165
SAGAMORE
—
01
—
9227
PHP
—
Enumeration date
07/07/2005
Last updated
04/02/2021
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