Individual
QUENTIN WAYNE TINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3443 W 3RD ST, BLOOMINGTON, IN 47404-4851
(812) 353-3443
(812) 353-3442
Mailing address
2520 CASTOR LN, MADISON, IN 47250-2496
(812) 599-8186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003646A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/29/2016
Last updated
07/15/2022
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