Individual
DR. TIMOTHY PATRICK WALBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3834 S EMERSON AVE STE 100, INDIANAPOLIS, IN 46203-5901
(317) 782-1577
(888) 366-7577
Mailing address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203-5901
(317) 782-1577
(317) 780-5538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01064701A
IN
207R00000X
Internal Medicine Physician
4301088280
MI
207R00000X
Internal Medicine Physician
A83728
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01064701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01064701A
INDIANA
IN
05
—
200898150
—
IN
Enumeration date
04/18/2006
Last updated
03/07/2023
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