Individual
DR. DAVID TILLEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D...
Contact information
Practice address
9 K ST, LAKE LOTAWANA, MO 64086-9439
(816) 578-4335
Mailing address
9 K ST, LAKE LOTAWANA, MO 64086-9439
(816) 578-4335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2004002777
MO
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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