Individual
FREDERICK A TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6744 ROBIN HOOD CT, INDIANAPOLIS, IN 46227-7314
(317) 621-5676
Mailing address
6744 ROBIN HOOD CT, INDIANAPOLIS, IN 46227-7314
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01026387A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077220A
—
IN
01
—
P01210510
RR MEDICARE PTAN
IN
Enumeration date
06/13/2005
Last updated
01/31/2020
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