| Wilhelm Tietke Md Pc | |
|
131 Longwood Dr Sw Huntsville AL 35801-4522 | |
| (256) 880-9628 | |
| (256) 880-9629 |
| Full Name | Wilhelm Tietke Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 131 Longwood Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Wilhelm Tietke (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2568809628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilhelm Tietke Md Pc 131 Longwood Dr Sw Huntsville AL 35801-4522 Ph: (256) 880-9628 | Wilhelm Tietke Md Pc 131 Longwood Dr Sw Huntsville AL 35801-4522 Ph: (256) 880-9628 |
| NPI Number | 1417204686 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417204686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 7067 (Alabama) | Primary |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
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