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Individual

DR. TIMOTHY G. WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8402 HARCOURT RD STE 125, INDIANAPOLIS, IN 46260-2094
(317) 802-2000
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01043810
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
01043810A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200055790
IN
Enumeration date
05/22/2006
Last updated
05/21/2024
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