Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE ANN FUNFROCK, DO
ActiveJULIE ANN FUNFROCK, DO is a Family Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1144970575 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1144970575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2022 (4.3842342217995 yrs)
- Last Updated
- Jun 26, 2025
- Licenses
-
TL.0009112 (CO)TL.0009112 (CO)02008137A (IN)
Practice Information
- Address
-
10050 AUBURN PARK DRFORT WAYNE, IN, 468252389Browse IN providers · Browse ZIP 46825
- Phone
- 2604326459
- Fax
- 2602405284
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH ROBERT HUGUENARD | MD | 1598767782 |
| TODD ROBERT PAGE | MD | 1184622367 |
| LYNN VAN VALER FAUR | MD | 1326047721 |
| DENISE M SMITH | DO | 1912907445 |
| WILLIAM D GOUDY | D.O. | 1568462935 |
| ,BIRUTE L PUMPUTIS | MD | 1326048455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.