Individual
DR. DWIGHT S TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E 109TH AVE, CROWN POINT, IN 46307-7294
(219) 921-1444
Mailing address
601 GATEWAY AVE, CHESTERTON, IN 46304
(219) 921-1444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01051714A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01051714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000092093
ANTHEM
—
01
—
001051714
BCIL TYNDALL
—
05
—
036095677
—
IL
01
—
104771
ANTHEM GROUP
IN
01
—
1160572
FIRST HEALTH
—
01
—
140220
MEDICARE GROUP SMMN
—
01
—
200135850A
MEDICAID IND GROUP
—
05
—
200226250A
—
IN
01
—
5797564
AETNA
—
01
—
874640
MEDICARE GROUP
IN
01
—
90000692
BCIL GROUP
—
01
—
CI3318
RRMEDICARE GROUP
—
Enumeration date
08/07/2006
Last updated
12/20/2024
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