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Individual

SARAH A TIEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
102 E MAIN ST, WORTHINGTON, IN 47471-1603
(812) 699-6092
(844) 659-3687
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 699-6092
(844) 659-3687

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01055106A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
01055106A
IN
208000000X
Pediatrics Physician
01055106A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224576
ANTHEM PROVIDER #
IN
05
200383900A
IN
Enumeration date
09/08/2005
Last updated
08/28/2024
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