Individual
TIMOTHY J PATRICK-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 US HIGHWAY 41, SUITE 1, SCHERERVILLE, IN 46375-1277
(219) 864-3950
(219) 864-3952
Mailing address
1040 SIERRA DRIVE, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4886
(317) 859-8239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01072615A
IN
208000000X
Pediatrics Physician
25MA04624500
NJ
Other
Enumeration date
10/24/2006
Last updated
02/02/2015
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