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1053310458
DENNIS D TIETZE
TOPEKA, KS
NPI
1053310458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 418256)
Enumeration Date
2005-07-18
Last Update Date
2014-01-08
Business Address
-- DENNIS D TIETZE MD
1101 SW 29TH STREET
TOPEKA, KS 66611
Phone number: 785-379-4600
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Mailing Address
-- DENNIS D TIETZE MD
DEPT CH 14389
PALATINE, IL 60055-4389
Phone number: 785-295-8108
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