Tieszen, Mark J

Tieszen, Mark J is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Tieszen, Mark J can be contacted via phone (616) 252-7200.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519-9606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301108689 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 6606 North Dakota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301108689 Michigan

Profile Details

NPI number 1003838681
LBN Legal business name Tieszen, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 17th, 2018 - about 7 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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