Frederick M Tiesenga, MD

NPI #1801875679 in Elmwood Park, Illinois

Provider Information

NPI Number: 1801875679
Entity Type: Individual
Name: Frederick M Tiesenga, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jan 11, 2006
Last Updated: Apr 26, 2022

Practice Location

Address: 1950 N HARLEM AVE
City: Elmwood Park
State: Illinois
ZIP Code: 60707-3717
Phone: (708) 453-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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