Individual
ROY TINGUELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0057731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125153
—
IA
01
—
020026976
RAILROAD MEDICARE
IA
01
—
19614
IOWA HEALTH SOLUTIONS
IA
01
—
51645
BLUE CROSS
IA
01
—
IA0106
JOHN DEERE HEALTH
IA
Enumeration date
07/27/2005
Last updated
07/22/2020
Update your record
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