Individual
TIMOTHY PATRICK PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3425 EXECUTIVE PKWY STE 200, TOLEDO, OH 43606-1333
(567) 638-1490
(567) 368-1478
Mailing address
3425 EXECUTIVE PKWY STE 200, TOLEDO, OH 43606-1333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35130966
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35130966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221109200
—
MD
01
—
974410-01
CAREFIRST BC/BS
MD
01
—
S062-0430
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
06/02/2008
Last updated
11/24/2025
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