Individual
CLOVER G SCHULTZ-TIEDEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 8TH ST NW, AUSTIN, MN 55912-2473
(507) 434-6982
(507) 434-6983
Mailing address
1906 8TH ST NW STE A, AUSTIN, MN 55912-2478
(507) 434-6982
(507) 434-6983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9159
MN
Other
Enumeration date
05/22/2006
Last updated
03/09/2026
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