person
Mitchell Tiedke, PA
Surgical Physician Assistant in Englewood, Colorado
NPI 1033719745

Mitchell Tiedke is a Surgical Physician Assistant based in Aurora, CO and is specialized in Surgical. Mitchell Tiedke practices in Englewood, CO and has the professional credentials of PA. The NPI Number for Mitchell Tiedke is 1033719745 and holds a License No. PA.0006543 (Colorado).

The current practice location address for Mitchell Tiedke is 3501 S Clarkson St, Englewood, CO and can be reached out via phone at 763-381-7160.

Location: 3501 S Clarkson St, Englewood, CO, 80042-0429
person
Provider Profile Details
NPI Number
1033719745
Provider Name
Mitchell Tiedke
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3501 S Clarkson St, Englewood, CO, 80042-0429
Phone Number
763-381-7160
Fax Number
Provider Enumeration Date
10/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3501 S Clarkson St
City
State
Zip
80113-3916
Phone Number
763-381-7160
Fax Number
person
Provider Business Mailing Address Details
Address
3501 S Clarkson St
City
State
Zip
80113-3916
Phone Number
763-381-7160
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA.0006543 (Colorado)
Definition
Definition to come...
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