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Individual

DR. JOEL MERRELL WITTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
406 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(317) 274-2740
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G48314
CA
207RG0100X
Gastroenterology Physician
Primary
01062891A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200842780
IN
Enumeration date
09/30/2006
Last updated
11/25/2020
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