Individual
JEFFREY JOSEPH TIEDEMAN
Active
Individual
JEFFREY JOSEPH TIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17788
NE
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
17788
NE
207XS0106X
Orthopaedic Hand Surgery Physician
MD-28688
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06081
BCBS OF NEBRASKA
NE
01
—
09-00185
SHARE ADVANTAG/MERCY RD
NE
01
—
09-01141
SHARE ADVANTAGE/LAKESIDE
NE
05
—
0903179
—
IA
01
—
2463
MIDLANDS CHOICE
NE
05
—
47063010113
—
NE
Enumeration date
06/08/2006
Last updated
12/15/2023
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