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Individual

TYLER BERNARD SHUBITOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1030 W MICHIGAN ST STE C4600, INDIANAPOLIS, IN 46202-5201
(317) 274-4716
Mailing address
1030 W MICHIGAN ST STE C4600, INDIANAPOLIS, IN 46202-5201

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301514707
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01096739A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4351049056
MI

Other

Enumeration date
04/03/2021
Last updated
07/30/2025
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