Provider Demographics
NPI:1386826543
Name:WEINBERG & FRANK PLASTIC SURGERY AND AESTHETIC CENTER INC
Entity type:Organization
Organization Name:WEINBERG & FRANK PLASTIC SURGERY AND AESTHETIC CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-924-3377
Mailing Address - Street 1:931 RIDGE RD
Mailing Address - Street 2:STE A
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1755
Mailing Address - Country:US
Mailing Address - Phone:219-924-3377
Mailing Address - Fax:219-513-2017
Practice Address - Street 1:931 RIDGE RD
Practice Address - Street 2:STE A
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1755
Practice Address - Country:US
Practice Address - Phone:219-924-3377
Practice Address - Fax:219-513-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043729261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ING46462Medicare UPIN
IN194180Medicare PIN