Individual
JAMES H. TIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-2273
(417) 347-2277
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-2273
(417) 347-2277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
106094
MO
207Q00000X
Family Medicine Physician
Primary
106094
MO
207Q00000X
Family Medicine Physician
24733
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318520D
—
KS
05
—
208016519
—
MO
01
—
P01408850
RAIL ROAD MEDICARE
MO
Enumeration date
01/03/2006
Last updated
04/22/2021
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