Whalio Doctors

NPI 1003838681

Mark J Tieszen, MD

Practitioner Critical Care Medicine (Internal Medicine) Physician Wyoming, MI

Practice location

Address
5900 Byron Center Ave SW, Wyoming, MI 49519-9606
Phone
(616) 252-7200
Mailing address
5900 Byron Center Ave SW Medical Administration, Wyoming, MI 49519-9606

Registered specialties (3)

Critical Care Medicine (Internal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence 4301108689 (MI)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4301108689 (MI)
Critical Care Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence 6606 (ND)

Registry record

NPI
1003838681
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jul 2006
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.