Timothy Madren MD

NPI 1902824469 - Anesthesiology - 207L00000X

NPI Details
NPI 1902824469
Gender Male
Enumeration Date 07/17/2006
Last Updated 03/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1701 S CREASY LN
LAFAYETTE IN, 47905-4972, US
Phone (765) 502-4000
Fax (765) 446-5317
Business Location
PO BOX 660239
INDIANAPOLIS IN, 46266-0001, US
Phone (765) 446-5417
Fax (765) 446-5317
Toxanomy
Taxonomy Code 207L00000X
License State Indiana
License Number 01039482
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According to our database, Timothy Madren MD NPI is 1902824469, taxonomy code is 207L00000X and license number is 01039482, license state is located at Indiana. Timothy Madren MD physically located at 1701 S Creasy Ln, Lafayette IN, 47905-4972. NPI Number Timothy Madren MD has the Individual type.

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1902824469 NPI number is provided on an as is basis without warranty of any kind. 1902824469 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Madren MD are for informational purposes only.