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1104047307
JOHN S TIEDEMAN
CHARLOTTESVILLE, VA
NPI
1104047307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101243857)
Enumeration Date
2007-05-02
Last Update Date
2008-07-02
Business Address
-- JOHN S TIEDEMAN MD
459 LOCUST AVE
CHARLOTTESVILLE, VA 22902-4808
Phone number: 434-296-7733
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Mailing Address
-- JOHN S TIEDEMAN MD
311 10TH ST NE
CHARLOTTESVILLE, VA 22902-5316
Phone number: 434-296-7733
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