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Contact Information

DANIEL J TIEDE, MD
1406 6TH AVE N
SAINT CLOUD, MN56303
 Phone: 320-656-7020
 Fax: 320-255-5714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DANIEL J TIEDE · (Male)

NPI # 1306839949
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2005
Last updated 09/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 35523
  • MN Medicaid 852362200
  • Other 1119213 ARAZ GROUP/AMERICA'S PPO
  • Other 95D80T1 BCBS
  • Other 2114057 FIRST HEALTH PLAN
  • Other HP31427 HEALTH PARTNERS
  • Other 2500414 MEDICA HEALTH PLANS
  • Other 852362200 MEDICAL ASSISTANCE (MA)
  • Other 1025405 PREFERRED ONE
  • Other 119337 U-CARE
Hospital affiliation(s)
  • CHIPPEWA COUNTY HOSPITAL - (Critical Access)
    824 NORTH 11TH STREET
    MONTEVIDEO, MN 56265
  • DOUGLAS COUNTY HOSPITAL - (Acute Care)
    111 17TH AVENUE EAST
    ALEXANDRIA, MN 56308
  • GLACIAL RIDGE HOSPITAL - (Critical Access)
    10 4TH AVENUE SOUTHEAST
    GLENWOOD, MN 56334
  • RICE MEMORIAL HOSPITAL - (Acute Care)
    301 BECKER AVE SW
    WILLMAR, MN 56201
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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