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Individual

DR. BELARMINO T FROGOZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 423-6690
(765) 423-6691
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01031891A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
01031891
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
01031891A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100251180
IN
Enumeration date
10/04/2006
Last updated
07/20/2023
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