Individual
DR. TIMOTHY J. PORSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2115 W LEXINGTON AVE, ELKHART, IN 46514-1423
(574) 296-3955
(574) 296-3999
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3955
(574) 296-3999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030434A
IN
Other
Enumeration date
06/15/2005
Last updated
09/21/2007
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