person
Dr. Douglas N Tietjen, MD
Specialist in Lees Summit, Missouri
NPI 1679522700

Douglas N Tietjen is a Specialist based in Lees Summit, MO. Douglas N Tietjen practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for Douglas N Tietjen is 1679522700 and holds a License No. 0428228 (Missouri).

The current practice location address for Douglas N Tietjen is 451 Nw Murray Rd, Lees Summit, MO and can be reached out via phone at 816-524-1007 and via fax at 816-524-1988.

Location: 451 Nw Murray Rd, Lees Summit, MO, 64081-1425
person
Provider Profile Details
NPI Number
1679522700
Provider Name
Douglas N Tietjen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
451 Nw Murray Rd, Lees Summit, MO, 64081-1425
Phone Number
816-524-1007
Fax Number
816-524-1988
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205101 05 MO
340016722 01 RR MEDICARE
25977052 01 MO BCBS
institution
Provider Business Practice Location Address Details
Address
451 Nw Murray Rd
City
State
Zip
64081-1425
Phone Number
816-524-1007
Fax Number
816-524-1988
person
Provider Business Mailing Address Details
Address
451 Nw Murray Rd
City
State
Zip
64081-1425
Phone Number
816-524-1007
Fax Number
816-524-1988
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0428228 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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