| Dr Housecall | |
|
4008 E New York St Indianapolis IN 46201-3662 | |
| (317) 645-6303 | |
| (317) 848-1922 |
| Full Name | Dr Housecall |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4008 E New York St, Indianapolis, Indiana |
| Authorized Official Name and Position | Timothy P. Walbridge (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 3176456303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Housecall 4008 E New York St Indianapolis IN 46201-3662 Ph: (317) 645-6303 | Dr Housecall 4008 E New York St Indianapolis IN 46201-3662 Ph: (317) 645-6303 |
| NPI Number | 1073783627 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073783627 | NPI | - | NPPES |
| 4921302 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 01064701A (Indiana) | Primary |
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