Mitchell Tiedke, PA is a surgical physician assistant in Englewood, CO. Mitchell Tiedke, PA NPI is 1033719745. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3501 S CLARKSON ST
ENGLEWOOD, CO
ZIP 80113-916
Phone: (763) 381-7160
The NPI 1033719745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/30/2020 and was last updated on 2/16/2023.