JULIE ANN FUNFROCK

FORT WAYNE, IN
NPI1144970575
Former NameJULIE ANN WEILBAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02008137A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CO  TL.0009112)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO  TL.0009112)
Enumeration Date2022-03-28
Last Update Date2025-06-26
Business Address
JULIE ANN FUNFROCK DO
10050 AUBURN PARK DR
FORT WAYNE, IN 46825-2389
Phone number: 260-432-6459
Mailing Address
JULIE ANN FUNFROCK DO
10050 AUBURN PARK DR
FORT WAYNE, IN 46825-2389
Phone number: 260-432-6459