Individual
TYLER VOEGTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 W 16TH ST, #2364, INDIANAPOLIS, IN 46202-2207
(317) 963-7307
Mailing address
355 W 16TH ST, #2364, INDIANAPOLIS, IN 46202-2207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11018924A
IN
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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