Individual
DR. TIMOTHY JAMES VON FANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 NORTHPARK DR STE 10, COLUMBUS, IN 47203-4467
(812) 376-0700
(812) 376-8625
Mailing address
7951 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-7582
(512) 584-8404
(737) 377-0442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-121122
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01068721A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
036-121122
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
01068721A
IN
Other
Enumeration date
02/06/2007
Last updated
11/21/2025
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