Tyler Wilson Clemmensen

NPI 1265852107 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1265852107
Gender Male
Enumeration Date 04/18/2014
Last Updated 04/18/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
625 19TH ST S
BIRMINGHAM AL, 35249, US
Phone (205) 934-4303
Fax (205) 934-5499
Business Location
625 19TH ST S
BIRMINGHAM AL, 35249, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Tyler Wilson Clemmensen NPI is 1265852107, taxonomy code is 390200000X Tyler Wilson Clemmensen physically located at 625 19th St S, Birmingham AL, 35249. NPI Number Tyler Wilson Clemmensen has the Individual type.

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1265852107 NPI number is provided on an as is basis without warranty of any kind. 1265852107 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Wilson Clemmensen are for informational purposes only.