AUSTIN FREDERICK TIESENGA

SAINT JOSEPH, MI
NPI1740977446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-21
Last Update Date2024-02-06
Business Address
AUSTIN FREDERICK TIESENGA
1234 NAPIER AVE
SAINT JOSEPH, MI 49085-2112
Phone number: 269-985-4461
Mailing Address
AUSTIN FREDERICK TIESENGA
48 ROYAL VALE DR
OAK BROOK, IL 60523-1643
Phone number: 312-890-1685