JACK MICHAEL TIETEMA

PHILADELPHIA, PA
NPI1326669391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-30
Last Update Date2026-05-05
Business Address
Dr. JACK MICHAEL TIETEMA MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2250
Mailing Address
Dr. JACK MICHAEL TIETEMA MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2250
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