Individual
DR. TUDOR R TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 GENOA BUSINESS PARK DR STE 170, BRIGHTON, MI 48114-7005
(810) 299-8551
(810) 844-0837
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-1431
(517) 841-1432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301084403
MI
207X00000X
Orthopaedic Surgery Physician
Primary
4301084403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920018
PHYSICIALS HEALTH PLAN
MI
01
—
2003810541
BLUE CROSS BLUE SHIELD MI
MI
01
—
5392560001
MEDICARE DMERC
MI
01
—
700C810580
BC - FOOTE
MI
01
—
P118495
BLUE CARE NETWORK
MA
Enumeration date
08/16/2005
Last updated
03/26/2026
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