Individual
JOSHUA TIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14300 CLAY TERRACE BLVD STE S200A, CARMEL, IN 46032-3630
(317) 214-5795
(317) 214-5796
Mailing address
PO BOX 843022, KANSAS CITY, MO 64184-3022
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R73397
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01086297A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300052782
—
IN
Enumeration date
06/13/2012
Last updated
10/31/2024
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