Organization
RURAL SURGICAL RELIEF, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY JOSEPH TINGUELY M.D. (OWNER / PRESIDENT)
(319) 470-0252
Entity
Organization
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 372-6530
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30658
IA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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