Individual
TYLER M SCHWIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-8221
Mailing address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-8221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35884
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486191
—
IA
05
—
1366493397
—
IA
05
—
1486191
—
IA
01
—
P00336738
RR MEDICARE
IA
Enumeration date
05/15/2006
Last updated
05/22/2012
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