Organization
DR HOUSECALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P. WALBRIDGE M.D. (OWNER/SOLE PROPRIETOR)
(317) 645-6303
Entity
Organization
Contact information
Practice address
4008 E NEW YORK ST, INDIANAPOLIS, IN 46201-3662
(317) 645-6303
(317) 848-1922
Mailing address
4008 E NEW YORK ST, INDIANAPOLIS, IN 46201-3662
(317) 645-6303
(317) 848-1922
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01064701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4921302
—
MI
Enumeration date
03/10/2008
Last updated
03/26/2013
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