Tiede, Daniel James

Tiede, Daniel James is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Tiede, Daniel James can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35523 Minnesota
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35523 Minnesota

Profile Details

NPI number 1306839949
LBN Legal business name Tiede, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306839949 NPPES
Other 852362200 MEDICAL ASSISTANCE (MA)
MEDICAID 852362200 MEDICAL ASSISTANCE (MA)
Other HP31427 MEDICAL ASSISTANCE (MA)
Other 95D80T1 MEDICAL ASSISTANCE (MA)
Other 1025405 MEDICAL ASSISTANCE (MA)
Other 1119213 MEDICAL ASSISTANCE (MA)
Other 2114057 MEDICAL ASSISTANCE (MA)
Other 119337 MEDICAL ASSISTANCE (MA)
Other 2500414 MEDICAL ASSISTANCE (MA)

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