Individual
TIMOTHY J PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 PIT ROAD, BROWNSBURG, IN 46112
(317) 885-2700
(317) 988-5523
Mailing address
550 N MERIDIAN ST STE 114, INDIANAPOLIS, IN 46204-1208
(317) 274-4402
(317) 274-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120580
—
IN
Enumeration date
08/30/2006
Last updated
05/20/2022
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