NPI 1699507301

Kyle Tietze

Practitioner Independent Duty Corpsman Duluth, MN

Practice location

Address: 1201 Minnesota Ave, Duluth, MN 55802-2424
Phone: (218) 529-3109

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1699507301
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2024
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.