| NPI | 1003161688 |
|---|---|
| Doing Business As | TISHOMINGO-ADLAON CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-11-27 |