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NPI Code Detail

MEDICARE: GINA L TIEMAN

MEDICARE: GINA L TIEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1770416281
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA L TIEMAN
Provider Business Mailing Address
First Line : 3555 N CALHOUN RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-2120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3555 N CALHOUN RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-2120
Country : US
Telephone Number : 262-781-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ GINA L TIEMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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