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Search › Pennsylvania › 208000000X

Shannon Tiedeken, MD

NPI 1225395999 · on the registry since 2012 · sole proprietor

Practice

Address
101 Applied Bank Blvd Ste 11
Nemours Dupont Pediatrics, Glen Mills Urgent Care
Glen Mills, PA 19342
Phone
(484) 800-8630
Organisation at this address
The Nemours Foundation
Novacare Outpatient Rehabiliation East Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania