John S Tiedeman, MD

NPI #1104047307 in Charlottesville, Virginia

Provider Information

NPI Number: 1104047307
Entity Type: Individual
Name: John S Tiedeman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: May 2, 2007
Last Updated: Jul 2, 2008

Practice Location

Address: 459 LOCUST AVE
City: Charlottesville
State: Virginia
ZIP Code: 22902-4808
Phone: (434) 296-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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