Tieu, Cuong

Tieu, Cuong is an individual health care provider with primary practice located at 34700 Valley Rd , Oconomowoc WI 53066-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Tieu, Cuong can be contacted via phone (262) 646-1391.

Contact Information

Primary practice address
34700 Valley Rd Oconomowoc WI 53066-4500
Phone: (262) 646-1391
Fax: (262) 646-1393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 48587-020 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 48587-020 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 48587-020 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X N1475 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N1475 Texas

Profile Details

NPI number 1245304716
LBN Legal business name Tieu, Cuong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245304716 NPPES
Texas MEDICAID 217454201
Texas Other 8CH496

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