Nathan L Tiedtke is a Pharmacist in Madison, Wisconsin. Nathan L Tiedtke practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Nathan L Tiedtke is 1912160631. The last update date is 2008-07-02.
Nathan L Tiedtke's current location address is 2500 Overlook Ter # 119, Madison, Wisconsin. You can contact this provider via phone number 6082561901. The mailing address for Nathan L Tiedtke is 2500 Overlook Ter # 119, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan L Tiedtke |
|---|---|
| Address | 2500 Overlook Ter # 119, Madison, Wisconsin |
| Phone Number | 6082561901 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1912160631 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 2500 Overlook Ter # 119 |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537052254 |
| Phone Number | 6082561901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 119252 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Nathan L Tiedtke's 1912160631?
The Nathan L Tiedtke's NPI (National Provider Identifier) Number is 1912160631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Nathan L Tiedtke?
The Nathan L Tiedtke is situated at 2500 Overlook Ter # 119, in the city of Madison, state of WI, with the zip code 537052254.
What is Nathan L Tiedtke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nathan L Tiedtke is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912160631 to Nathan L Tiedtke?
The Nathan L Tiedtke received its 1912160631 assignment from the Centers for Medicare & Medicaid Services on 2008-07-02.
When was the information pertaining to Nathan L Tiedtke most recently updated or revised?
The details related to Nathan L Tiedtke, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-02.
NPI Number: 1215930425
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