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1720670706
COLE A TIDEMANN
BROOKFIELD, WI
NPI
1720670706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT028865)
Enumeration Date
2021-02-10
Last Update Date
2022-11-22
Business Address
COLE A TIDEMANN PT, DPT
1905 N CALHOUN RD
BROOKFIELD, WI 53005-5036
Phone number: 262-333-0040
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Mailing Address
COLE A TIDEMANN PT, DPT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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