Individual
DR. THOMAS J CHOWATTUKUNNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W GARDNER DR, MARION, IN 46952-1821
(765) 662-6257
(765) 668-6797
Mailing address
711 W GARDNER DR, MARION, IN 46952-1821
(765) 662-6257
(765) 668-6797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01036896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383540
—
IN
Enumeration date
11/14/2005
Last updated
03/20/2021
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