Dennis D Tietze MD

NPI 1053310458 - Family Medicine - 207Q00000X

NPI Details
NPI 1053310458
Gender Male
Enumeration Date 07/18/2005
Last Updated 01/08/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1101 SW 29TH STREET
TOPEKA KS, 66611, US
Phone (785) 379-4600
Fax
Business Location
DEPT CH 14389
PALATINE IL, 60055-4389, US
Phone (785) 295-8108
Fax (785) 231-5991
Toxanomy
Taxonomy Code 207Q00000X
License State Kansas
License Number 418256
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According to our database, Dennis D Tietze MD NPI is 1053310458, taxonomy code is 207Q00000X and license number is 418256, license state is located at Kansas. Dennis D Tietze MD physically located at 1101 Sw 29th Street, Topeka KS, 66611. NPI Number Dennis D Tietze MD has the Individual type.

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1053310458 NPI number is provided on an as is basis without warranty of any kind. 1053310458 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis D Tietze MD are for informational purposes only.