Individual
DR. KRISTIN ALLISON TIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01076626
IN
208000000X
Pediatrics Physician
Primary
80568
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169230
—
IN
Enumeration date
05/31/2013
Last updated
11/05/2025
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