Individual
DR. TIMOTHY A BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N MADISON AVE, GREENWOOD, IN 46142-4135
(317) 888-3508
Mailing address
2013 S RENWICK BLVD, BLOOMINGTON, IN 47401-7167
(812) 320-4183
(812) 347-4821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042017A
INDIANA LICENSE
IN
Enumeration date
05/30/2006
Last updated
08/24/2024
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