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1902093768
JOHN EDWARD TIEBEN
NEW PRAGUE, MN
NPI
1902093768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 50997)
Enumeration Date
2007-09-26
Last Update Date
2021-01-07
Business Address
JOHN EDWARD TIEBEN M.D.
301 2ND ST NE
NEW PRAGUE, MN 56071
Phone number: 952-758-4431
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Mailing Address
JOHN EDWARD TIEBEN M.D.
301 2ND ST NE
NEW PRAGUE, MN 56071-1709
Phone number: 952-587-4431
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