Organization
PREFERRED ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY MISLENKOV MD (OWNER)
(219) 324-2229
Entity
Organization
Contact information
Practice address
800 LINCOLNWAY, SUITE 301, LA PORTE, IN 46350-3438
(219) 324-2229
(219) 324-2229
Mailing address
800 LINCOLNWAY, SUITE 301, LA PORTE, IN 46350-3438
(219) 324-2229
(219) 324-2229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01061306A
IN
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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