Organization
TERRE HAUTE MEDICAL CORP PC
Active
Other names
Carlisle MedicalClinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER TON MD (OWNER)
(812) 234-2289
Entity
Organization
Contact information
Practice address
8685 S OLD US 41, CARLISLE, IN 47838
(812) 398-5200
(812) 398-5102
Mailing address
4757 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-2289
(812) 232-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200230410
—
IN
Enumeration date
03/02/2007
Last updated
06/17/2008
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