NATHAN L TIEDTKE

MADISON, WI
NPI1912160631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  119252)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- NATHAN L TIEDTKE Pharm.D.
2500 OVERLOOK TER # 119
MADISON, WI 53705-2254
Phone number: 608-256-1901
Mailing Address
-- NATHAN L TIEDTKE Pharm.D.
2500 OVERLOOK TER # 119
MADISON, WI 53705-2254
Phone number: 608-256-1901