Shannon Doyle Tiedeken, MD

NPI #1225395999 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1225395999
Entity Type: Individual
Name: Shannon Doyle Tiedeken, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 18, 2012
Last Updated: Mar 17, 2017

Practice Location

Address: 101 APPLIED BANK BLVD STE 11
Address 2: NEMOURS DUPONT PEDIATRICS, GLEN MILLS URGENT CARE
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342-3501
Phone: (484) 800-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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