Michael R Tellman
Michael R Tellman is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
5750 E 91st St Ste AIndianapolis, IN 46250-1380
Phone: (317) 694-4916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12014425A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1114776465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2024 |
| Last updated in NPPES | June 3, 2024 |
| Certification date | June 3, 2024 |
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