Individual provider · Type 1 NPI

John William Fanta

Neurology Physician · Indianapolis, IN

NPI number 1215517438 Active

Practice location

1120 W Michigan St # CL642
Indianapolis, IN 46202-5209

Other practice locations

  • 3922 Cedar Run Rd, Traverse City, MI 49684-9687 · (231) 392-0430
  • 1345 E Parkdale Ave, Manistee, MI 49660-9318 · (231) 398-1750

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X4301513777 (MI)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1215517438

John William Fanta's National Provider Identifier is 1215517438, issued on Apr 12, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 30, 2025.