Provider Demographics
NPI:1134680713
Name:TIEE, MADELINE SHAOYUN
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:SHAOYUN
Last Name:TIEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ORTHOPAEDIC TRAUMA INSTITUTE
Mailing Address - Street 2:2540 23RD STREET, BUILDING 7, 3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ORTHOPAEDIC TRAUMA INSTITUTE
Practice Address - Street 2:2540 23RD STREET, BUILDING 7, 3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-476-2124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA193800207X00000X
IL125.074983207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery