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1336252238
JEFFREY D TIEMSTRA
ELKHORN, WI
NPI
1336252238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 64749)
Enumeration Date
2006-08-16
Last Update Date
2023-08-07
Business Address
JEFFREY D TIEMSTRA M.D.
W3985 COUNTY ROAD NN
ELKHORN, WI 53121-4337
Phone number: 262-741-2000
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Mailing Address
JEFFREY D TIEMSTRA M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 262-741-2121
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