NPI 1033130174

Alexander Albert Fondak, MD

Practitioner Dermatology Physician Kokomo, IN

Practice location

Address: 804 S Berkley Rd, Kokomo, IN 46901-5198
Phone: (765) 457-4455
Fax: (765) 457-0056
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01032543A (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1033130174
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2006
Record last updated: 22 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.