Most Relevant Information
Provider Data
| NPI Number: | 1003497546 |
| Provider Name: | JAY TIEDEMANN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2021 |
| Last Updated: | 04/16/2021 |
Provider Practice Location
611 W MARKET ST
AKRON
OH
443031411
Practice Location Phone/Fax
| Phone: | 3309964600 |
| Fax: | 3305649296 |
Provider Mailing Location
611 W MARKET ST
AKRON
OH
443031411
Provider Mailing Phone/Fax
| Phone: | 3309964600 |
| Fax: | 3305649296 |