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1861553026
THOMAS TIETJEN
PETOSKEY, MI
NPI
1861553026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MI TT077247)
Enumeration Date
2006-12-12
Last Update Date
2015-12-24
Business Address
-- THOMAS TIETJEN M.D.
560 W MITCHELL ST SUITE M40
PETOSKEY, MI 49770-2278
Phone number: 231-487-2391
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Mailing Address
-- THOMAS TIETJEN M.D.
859 SURREY LN
PETOSKEY, MI 49770-9310
Phone number: 231-838-4044
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