Sidney Wilson Tiesenga

NPI 1194905232 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1194905232
Gender Male
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
469 COPPEDGE FARM RD
WHITE STONE VA, 22578-2027, US
Phone (804) 435-0441
Fax (804) 435-9434
Business Location
469 COPPEDGE FARM RD
WHITE STONE VA, 22578-2027, US
Phone (804) 435-0441
Fax (804) 435-9434
Toxanomy
Taxonomy Code 207X00000X
License State Virginia
License Number 0101018913
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According to our database, Dr. Sidney Wilson Tiesenga NPI is 1194905232, taxonomy code is 207X00000X and license number is 0101018913, license state is located at Virginia. Sidney Wilson Tiesenga physically located at 469 Coppedge Farm Rd, White Stone VA, 22578-2027. NPI Number Sidney Wilson Tiesenga has the Individual type.

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1194905232 NPI number is provided on an as is basis without warranty of any kind. 1194905232 is maintained by the National Plan & Provider Enumeration System. The contents of Sidney Wilson Tiesenga are for informational purposes only.