Individual
TIMOTHY JAMES SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 W STONES CROSSING RD STE 200, GREENWOOD, IN 46143
(317) 859-3737
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01066341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620285
ANTHEM
IN
05
—
200944990
—
IN
Enumeration date
05/30/2008
Last updated
09/26/2023
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