Organization
TOM TIETJEN MD PLLC
Active
Organization
TOM TIETJEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS TIETJEN MD (MANAGER)
(231) 439-5491
Entity
Organization
Contact information
Practice address
267 CREEKSIDE DR, SUITE 200, PETOSKEY, MI 49770-7609
(231) 753-2105
(231) 344-5923
Mailing address
859 SURREY LN, PETOSKEY, MI 49770-9310
(231) 439-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301077247
MI
Other
Enumeration date
09/30/2014
Last updated
12/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up