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Individual

TIMOTHY A SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 W WALNUT ST, E 276, INDIANAPOLIS, IN 46202-5188
(317) 274-7453
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01041618A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100382680
IN
Enumeration date
04/19/2006
Last updated
03/12/2025
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