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1912160631
NATHAN L TIEDTKE
MADISON, WI
NPI
1912160631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 119252)
Enumeration Date
2008-07-02
Last Update Date
2008-07-02
Business Address
NATHAN L TIEDTKE PHARM.D.
2500 OVERLOOK TER # 119
MADISON, WI 53705-2254
Phone number: 608-256-1901
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Mailing Address
NATHAN L TIEDTKE PHARM.D.
2500 OVERLOOK TER # 119
MADISON, WI 53705-2254
Phone number: 608-256-1901
Copy
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