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Contact Information

MYLES E TIESZEN, MD
1601 SIOUX VALLEY DR
LUVERNE, MN56156
 Phone: 507-283-4476
 Fax: 507-283-9086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MYLES E TIESZEN · (Male)

NPI # 1063464683
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 38654
  • MN License # 64861
  • SD License # 3813
  • NE Medicaid 46045455601
  • SD Medicaid 7300264
Hospital affiliation(s)
  • SANFORD LUVERNE MEDICAL CENTER - (Critical Access)
    1600 NORTH KNISS AVENUE P O BOX 1019
    LUVERNE, MN 56156
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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