Cuong Tieu, M.D.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Oconomowoc, WI. Individual provider (NPI-1).
NPI number1245304716
StatusActive
Last updated in NPPESAug 13, 2014
Details
- NPI
- 1245304716
- Entity type
- Individual (NPI-1)
- Name
- Cuong Tieu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Aug 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 48587-020 | WI | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 48587-020 | WI | |
| 208D00000X | General Practice | 48587-020 | WI | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | N1475 | TX | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | N1475 | TX |
Practice location
34700 Valley RdOconomowoc, WI 53066-4500
Phone 262-646-1391 · Fax 262-646-1393
Mailing address
34700 Valley RdOconomowoc, WI 53066-4500
Phone 262-646-1391 · Fax 262-646-1393
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Other Child & Adolescent Psychiatry Physician providers in Oconomowoc, WI
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All 5 Child & Adolescent Psychiatry Physician providers in Oconomowoc · All 698 providers in Oconomowoc
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