NPI 1003838681
Mark J Tieszen, MD
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
Internal Medicine Physician
Critical Care Medicine (Internal Medicine) Physician
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.