Search › California › 152W00000X
Daniel Tiedeman, O.D
NPI 1508986704 · on the registry since 2007
Practice
- Address
- 9394 Big Horn Blvd
Elk Grove, CA 95758 - Phone
- (916) 691-8500
- Fax
- (916) 691-8589
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-08
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 California