IndividualActive
Alexander Fondak, M.D.
NPI 1033130174 · Dermatology Physician · Kokomo, IN
Provider details
- NPI number
- 1033130174
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01032543A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
804 S Berkley Rd
Kokomo, IN 46901-5198
Phone: (765) 457-4455
Fax: (765) 457-0056
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2015-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.