Individual
COLIN THOMAS PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6920 GATWICK DR STE 200, INDIANAPOLIS, IN 46241-9619
(317) 455-1064
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01087417A
IN
207X00000X
Orthopaedic Surgery Physician
69135
MN
Other
Enumeration date
04/20/2016
Last updated
12/11/2025
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