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Individual

DR. TIMOTHY CHARLES BIRTWHISTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4040 E 82ND ST, SUITE C7, INDIANAPOLIS, IN 46250-4360
(317) 595-8855
Mailing address
8202 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2955
(317) 595-8855

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003458B
IN

Other

Enumeration date
07/13/2007
Last updated
11/25/2019
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