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1194714774
JEFFREY MICHAEL TIEDE
FORT SAM HOUSTON, TX
NPI
1194714774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: MO 2007032264)
Enumeration Date
2005-10-17
Last Update Date
2020-12-01
Business Address
Dr. JEFFREY MICHAEL TIEDE M.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-260-9578
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Mailing Address
Dr. JEFFREY MICHAEL TIEDE M.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-260-9578
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