Individual
DR. TIMOTHY JOSEPH ELLERMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2251 E STATE HIGHWAY 54, LINTON, IN 47441-9498
(812) 847-8648
(812) 824-4353
Mailing address
7639 S CHIMNEY PIER RD, VINCENNES, IN 47591-7383
(812) 890-5301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021422A
IN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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