Individual
TIMOTHY M CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01029433
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181187
ANTHEM
IN
01
—
180040683
RAILROAD MEDICARE
IN
05
—
200316700
—
IN
01
—
231380
MEDICARE
IN
Enumeration date
06/16/2005
Last updated
12/17/2009
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