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John Fanta
NPI 1215517438 · on the registry since 2021
Practice
- Address
- 1120 W Michigan St # Cl642
Indianapolis, IN 46202 - Phone
- (317) 278-2686
- Clinicians at this address
- 42
Additional practice sites
- 1345 E Parkdale Ave, Manistee, MI
- 3922 Cedar Run Rd, Traverse City, MI
Registry record
- Primary taxonomy
- Neurology Physician
2084N0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana