Individual
ANTHONY STEPHEN TILMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 983-3168
(317) 870-0499
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 983-3168
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01037004
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588409
ANTHEM PIN #
IN
05
—
100107250
—
IN
01
—
100194370
GROUP MEDICAID
IN
01
—
1487680518
GROUP NPI
IN
01
—
200288740
GROUP MEDICAID
IN
Enumeration date
09/01/2006
Last updated
07/21/2023
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