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NPI Code Detail

MEDICARE: TYLER STEPHEN WAHL MD, MSPH

MEDICARE: TYLER STEPHEN WAHL MD, MSPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD.33799AL

General Provider Information

NPI Number : 1750724654
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER STEPHEN WAHL MD, MSPH
Provider Business Mailing Address
First Line : 2871 ACTON RD STE 100
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-716-6900
Fax Number : 205-939-0242
Provider Business Practice Location Address
First Line : 2871 ACTON RD STE 100
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-716-6900
Fax Number : 205-939-0242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 02/02/2023

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