Individual provider · Type 1 NPI
Glenn A. Tuckman, MD
Diagnostic Radiology Physician · Lafayette, IN
NPI number
1821091620
Active
Practice location
3738 Landmark Dr, Ste D
Lafayette, IN 47905-6654
Fax (765) 449-9791
Mailing address
6416 Shamel Dr
Indianapolis, IN 46278-1170
Other practice locations
- 200 Hawkins Dr, Iowa City, IA 52242-1009 · (319) 356-3444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | MD-40539 (IA) |
| Diagnostic Radiology Physician | 2085R0202X | MD-40539 (IA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 01039553A (IN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1821091620
Glenn A. Tuckman, MD's National Provider Identifier is 1821091620, issued on May 24, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lafayette, IN. The record was last updated on Dec 9, 2020.