Provider Demographics
NPI:1922194471
Name:TIEMANN, HANS-PETER MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:HANS-PETER
Middle Name:MICHAEL
Last Name:TIEMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 SPACE PARK WAY SPC 153
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1405
Mailing Address - Country:US
Mailing Address - Phone:650-962-0610
Mailing Address - Fax:
Practice Address - Street 1:1075 SPACE PARK WAY SPC 153
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1405
Practice Address - Country:US
Practice Address - Phone:650-962-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor