Individual
MICHAEL R TELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 E 91ST ST STE A, INDIANAPOLIS, IN 46250-1380
(317) 694-4916
Mailing address
7257 DOVER CT, INDIANAPOLIS, IN 46250-2438
(317) 750-2065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014425A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2024
Last updated
06/03/2024
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