Individual
MR. JOHN W. FRANTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1454 MORTHLAND DR, SUITE 2, VALPARAISO, IN 46385-6246
(219) 462-3081
(219) 462-4204
Mailing address
1454 MORTHLAND DR, SUITE 2, VALPARAISO, IN 46385-6246
(219) 462-3081
(219) 462-4204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200175850A
—
IN
Enumeration date
08/30/2006
Last updated
06/27/2008
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