TIMOTHY DWAYNE THUT

GOSHEN, IN
NPI1811906084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01025799)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY DWAYNE THUT M.D.
1811 CHARLTON CT
GOSHEN, IN 46526-6464
Phone number: 574-534-8200
Mailing Address
Dr. TIMOTHY DWAYNE THUT M.D.
1104 S 7TH ST
GOSHEN, IN 46526-4304
Phone number: 574-533-9945