Individual provider · Type 1 NPI

Justin Tiedge, DC

Chiropractor · Thiensville, WI

NPI number 1295633113 Active

Practice location

122 Green Bay Rd
Thiensville, WI 53092-1624

Call (262) 478-9104 Map

Mailing address

1628 Vogt Dr
West Bend, WI 53095-8508

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6439-12 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1295633113

Justin Tiedge, DC's National Provider Identifier is 1295633113, issued on Oct 29, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Thiensville, WI. The record was last updated on Oct 29, 2026.