MICHAEL EDWARD TIEMAN

SHOW LOW, AZ
NPI1730150400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AZ  27787)
Additional Taxonomies208600000X Surgery
(Licence: WI  22553)
Enumeration Date2006-01-30
Last Update Date2023-03-07
Business Address
-- MICHAEL EDWARD TIEMAN M.D.
5171 CUB LAKE RD SUITE 280
SHOW LOW, AZ 85901-7866
Phone number: 928-532-5463
Mailing Address
-- MICHAEL EDWARD TIEMAN M.D.
PO BOX 1660
LAKESIDE, AZ 85929-1660
Phone number: 928-532-5463
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