Austin Frederick Tiesenga
Austin Frederick Tiesenga is a Student in an Organized Health Care Education/Training Program in Saint Joseph, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1234 Napier AveSaint Joseph, MI 49085-2112
Phone: (269) 985-4461
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1740977446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 21, 2023 |
| Last updated in NPPES | February 6, 2024 |
| Certification date | February 6, 2024 |
| Mailing address | 48 Royal Vale Dr, Oak Brook, IL 60523-1643 |
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Taylor Anne Villani
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Collin James Vinson, MD
1234 Napier Ave, Saint Joseph, MI 49085-2112 · (269) 982-4941