Individual
MR. TIM C GARL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-2002
(812) 855-9865
Mailing address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-2002
(812) 855-9865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36000012A
IN
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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