Individual
TIMOTHY NEAL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6011
(260) 407-8004
Mailing address
1111 RIDGEWAY DR, CRAWFORDSVILLE, IN 47933-1065
(260) 407-8000
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324000
—
IN
Enumeration date
08/03/2006
Last updated
06/22/2009
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