Individual
DR. TIMOTHY DAVID IMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066523A
IN
207RG0100X
Gastroenterology Physician
Primary
01066523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947440
—
IN
Enumeration date
05/22/2008
Last updated
01/06/2022
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