Individual
DR. TIMOTHY WILLIAM CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 SOUTH DR, FESLER HALL RM. 224, INDIANAPOLIS, IN 46202
(317) 274-8282
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01077388A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017787A
IN
Other
Enumeration date
06/25/2014
Last updated
11/27/2023
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