Individual provider · Type 1 NPI

Mitchell Tiedke, PA

Surgical Physician Assistant · Aurora, CO

NPI number 1033719745 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Call (720) 777-1234 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 5938 E Grandview Rd, Scottsdale, AZ 85254-1287 · (480) 463-4315

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.0006543 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1033719745

Mitchell Tiedke, PA's National Provider Identifier is 1033719745, issued on Oct 30, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Oct 26, 2026.