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1396734661
WILHELM TIETKE
HUNTSVILLE, AL
NPI
1396734661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: AL 00007067)
Enumeration Date
2005-10-19
Last Update Date
2007-07-08
Business Address
-- WILHELM TIETKE MD
119 LONGWOOD DR
HUNTSVILLE, AL 35801
Phone number: 256-533-6488
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Mailing Address
-- WILHELM TIETKE MD
PO BOX 2324
BIRMINGHAM, AL 35201-2324
Phone number: 256-533-6488
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