CUONG TIEU

OCONOMOWOC, WI
NPI1245304716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI  48587-020)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI  48587-020)
208D00000X General Practice
(Licence: WI  48587-020)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: TX  N1475)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  N1475)
Enumeration Date2006-11-17
Last Update Date2014-08-13
Business Address
-- CUONG TIEU M.D.
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number: 262-646-1391
Mailing Address
-- CUONG TIEU M.D.
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number: 262-646-1391