Individual
JAMES JOHN TIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,FACP
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4688
(320) 321-4875
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4688
(320) 321-4875
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
16989
MN
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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