Individual
TOMMY MISLENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 LINCOLNWAY, SUITE 301, LA PORTE, IN 46350-3438
(219) 324-2229
(219) 324-2229
Mailing address
800 LINCOLNWAY, SUITE 301, LA PORTE, IN 46350-3438
(219) 324-2229
(219) 324-2229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061306A
IN
Other
Enumeration date
06/26/2007
Last updated
08/12/2009
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