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Individual
SHELLY H TIEN
Active
Individual
SHELLY H TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
55482
MN
207VM0101X
Maternal & Fetal Medicine Physician
036.128275
IL
207VM0101X
Maternal & Fetal Medicine Physician
65210
AZ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
U8599
TX
Other
Enumeration date
09/10/2008
Last updated
02/10/2025
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