Individual
MARK DANIEL TIEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 HOWARD ST, EAGLE, CO 81631
(970) 328-6969
(970) 328-6329
Mailing address
715 HORIZON DR, STE 225, GRAND JUNCTION, CO 81506-8700
(970) 683-7107
(970) 683-7167
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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