Individual
TIMOTHY SLABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4851 DEER RIDGE DR S, CARMEL, IN 46033-8910
(281) 324-5660
Mailing address
PO BOX 301, FAIRLAND, IN 46126-0301
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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