Individual
JOSEPH EDWARD FRULAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 446-7029
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01044836A
IN
207N00000X
Dermatology Physician
48274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197819
ANTHEM PROVIDER NUMBER
IN
05
—
200119500
—
IN
05
—
32128700
—
WI
05
—
645246900
—
MN
Enumeration date
05/26/2006
Last updated
02/02/2021
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