Dr DOUGLAS TIETJEN MD is a male medical professional, specializing in Urology. He graduated in 1993 from University Of Missouri, Kansas City, School Of Medicine.
KANSAS CITY UROLOGY CARE PA
17525 MEDICAL CTR PKWY
INDEPENDENCE
MO
640571824
Tel: 8169943150
| Npi | 1679522700 |
| Pac Id | 7113983800 |
| Professional Enrollment Id | I20050714000470 |
| Last Name | TIETJEN |
| First Name | DOUGLAS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | KANSAS CITY UROLOGY CARE PA |
| Group Practice Pac Id | 9032006853 |
| Number Of Group Practice Members | 50 |
| Line 1 Street Address | 17525 MEDICAL CTR PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 640571824 |
| Phone Number | 8169943150 |
| Hospital Affiliation Ccn 1 | 260216 |
| Hospital Affiliation Lbn 1 | SAINT LUKE'S EAST HOSPITAL |
| Hospital Affiliation Ccn 2 | 260138 |
| Hospital Affiliation Lbn 2 | ST LUKES HOSPITAL OF KANSAS CITY |
| Hospital Affiliation Ccn 3 | 260190 |
| Hospital Affiliation Lbn 3 | LEE'S SUMMIT MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 170182 |
| Hospital Affiliation Lbn 4 | MENORAH MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 260097 |
| Hospital Affiliation Lbn 5 | WESTERN MISSOURI MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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