Individual
WILLIAM M TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, 4TH FL, INDIANAPOLIS, IN 46202-2872
(317) 692-2323
(317) 656-3967
Mailing address
410 W 10TH ST, SUITE HS2000, INDIANAPOLIS, IN 46202-3010
(317) 630-7660
(317) 630-2466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200478510
—
IN
Enumeration date
05/05/2006
Last updated
02/01/2012
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