| Thomas Tietjen, MD | |
| 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2278 | |
| (231) 487-2391 | |
| (231) 487-6513 | 
| Full Name | Thomas Tietjen | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 560 W Mitchell St, Petoskey, Michigan | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861553026 | NPI | - | NPPES | 
| 1861553026 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | TT077247 (Michigan) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Tietjen, MD 859 Surrey Ln, Petoskey, MI 49770-9310 Ph: (231) 838-4044 | Thomas Tietjen, MD 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2278 Ph: (231) 487-2391 | 
| Gary H Shaw, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313 | |
| Dr. Janean Haggins-dabney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271 | |
| Dr. Vira C Heise, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
| John L Diedrich, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
| Dr. Peter E. Levanovich, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055 | |
| Dr. Kim Aikens, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265 | |
| Dr. Mark Alan Richmond, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2810 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-881-9054 Fax: 231-881-9052 |