Individual
MICHELLE ANN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4880 CENTURY PLAZA RD STE 250, INDIANAPOLIS, IN 46254-5471
(317) 216-2500
(317) 216-2555
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01047142A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214860
—
IN
Enumeration date
10/04/2006
Last updated
11/20/2020
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