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Individual

TIMOTHY JAMES REDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01056617A
IN
208800000X
Urology Physician
94818
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300033091
IN
Enumeration date
07/30/2007
Last updated
01/07/2026
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