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Timothy R Tanselle, MD

Family Medicine in Crawfordsville, IN. Individual provider (NPI-1).

NPI number1154317907
StatusActive
Last updated in NPPESJun 13, 2014

Details

NPI
1154317907
Entity type
Individual (NPI-1)
Name
Timothy R Tanselle
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2005
Last updated
Jun 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01028702INYes
208M00000X Hospitalist01028702AIN

Practice location

1500 Darlington Ave
Ste 300
Crawfordsville, IN 47933-2057

Phone 765-362-4940 · Fax 765-362-1302

Mailing address

1040 Sierra Drive
Suite 400
Greenwood, IN 46143-7241

Phone 317-528-4284 · Fax 317-865-8355

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