Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tom Tietjen MD PLLC

Organization Gastroenterology Physician · NPI 1518360916

Tom Tietjen MD PLLC is a Gastroenterology Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

267 Creekside Dr Ste 200
Petoskey, MI 49770-7609
Phone: (231) 753-2105
Fax: (231) 344-5923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301077247 (MI)

Record details

NPI number1518360916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Tietjen — Manager · (231) 439-5491
NPI enumeratedSeptember 30, 2014
Last updated in NPPESDecember 12, 2014
Mailing address859 Surrey Ln, Petoskey, MI 49770-9310

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