Individual
CHARLES WILLIAM TOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 N MADISON AVE, GREENWOOD, IN 46142-4135
(317) 528-7500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002869A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200531690
—
IN
Enumeration date
08/24/2006
Last updated
08/30/2022
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