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Individual

MICHELE TINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9128 87TH LN, INDIANOLA, IA 50125
(515) 491-1802
Mailing address
9128 87TH LN, INDIANOLA, IA 50125-7312
(515) 491-1802

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3052
IA
207Q00000X
Family Medicine Physician
Primary
03052
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689769432
IA
05
9144444
IA
Enumeration date
10/04/2006
Last updated
08/17/2021
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