Individual
SHANNON DOYLE TIEDEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLS URGENT CARE, GLEN MILLS, PA 19342-3501
(484) 800-8630
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD454113
PA
Other
Enumeration date
04/18/2012
Last updated
03/17/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us