Mitchell Tiedke, PA

NPI #1033719745 in Englewood, Colorado

Provider Information

NPI Number
1033719745
Entity Type
Individual
Name
Mitchell Tiedke, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Oct 30, 2020
Last Updated
Feb 16, 2023

Practice Location

Address
3501 S CLARKSON ST
ZIP Code
80113-3916
Phone
(763) 381-7160

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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