Matthew Dale Tieskoetter, APRN is an adult health nurse practitioner in Saint Louis, MO. Matthew Dale Tieskoetter, APRN NPI is 1508482506. 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:
333 S KIRKWOOD RD STE 203
SAINT LOUIS, MO
ZIP 63122-161
Phone: (314) 909-1666
The NPI 1508482506 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 6/25/2020 and was last updated on 6/25/2020.