Individual
DR. TIMOTHY M. MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
Mailing address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01040005
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087830
ANTHEM PROV #
IN
05
—
100466500
—
IN
Enumeration date
08/30/2006
Last updated
10/05/2017
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