Individual
DR. MARK T TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9686
(616) 252-7159
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301094795
MI
Other
Enumeration date
06/29/2009
Last updated
06/17/2020
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