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Individual

DANIEL JAMES TIEDE

Active
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Individual

DANIEL JAMES TIEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35523
MN
207RI0011X
Interventional Cardiology Physician
Primary
35523
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1025405
PREFERRED ONE
01
1119213
ARAZ GROUP/AMERICA'S PPO
01
119337
U-CARE
01
2114057
FIRST HEALTH PLAN
01
2500414
MEDICA HEALTH PLANS
01
852362200
MEDICAL ASSISTANCE (MA)
05
852362200
MN
01
95D80T1
BCBS
01
HP31427
HEALTH PARTNERS
Enumeration date
08/30/2005
Last updated
09/23/2024
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