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TOM TIETJEN MD PLLC
NPI 1518360916
Internal Medicine - Gastroenterology in Petoskey, MI

Active since September 30, 2014
267 CREEKSIDE DR, SUITE 200, PETOSKEY, MI 49770(231) 753-2105(231) 344-5923 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tom Tietjen Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOM TIETJEN MD PLLC (NPI 1518360916) is a healthcare organization registered as a gastroenterology in Petoskey, Michigan and active in the NPI registry since September 2014. The organization lists Thomas Tietjen, Manager, as its authorized official.

NPPES Registry Identity

NPI1518360916
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTOM TIETJEN MD PLLC
Location Address267 CREEKSIDE DR, SUITE 200Petoskey, MI 49770-7609
Mailing Address859 Surrey LnPetoskey, MI 49770-9310 · (231) 439-5491
Phone(231) 753-2105
Fax(231) 344-5923
Organization SubpartNo
Authorized OfficialThomas TietjenManager · (231) 439-5491
Enumeration DateSeptember 30, 2014
Last NPPES UpdateDecember 12, 2014
✔ NPI 1518360916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301077247
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
267 CREEKSIDE DR, Petoskey, MI 49770
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NMRS, P.C.
Physical Medicine & Rehabilitation (Pain Medicine)
267 CREEKSIDE DR, SUITE 200
PETOSKEY, MI 49770
Emmet County (231) 348-1995
FOUNTAIN OF LIFE CHIROPRACTIC PC
Chiropractor
267 CREEKSIDE DR, SUITE 100
PETOSKEY, MI 49770
Emmet County (231) 347-1776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tom Tietjen MD PLLC's NPI number?

The NPI number for Tom Tietjen MD PLLC is 1518360916. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Tom Tietjen MD PLLC located?

Tom Tietjen MD PLLC is located at 267 Creekside Dr Suite 200, Petoskey, MI 49770. The listed phone number is (231) 753-2105.

What is Tom Tietjen MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tom Tietjen MD PLLC was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.