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Individual

ADAM C TIERNEY

Active
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Individual

ADAM C TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41507-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366486888
WI
Enumeration date
06/15/2006
Last updated
12/14/2020
About Stedi
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  • EDI platform