Individual
MICHAEL E TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
704 BROOKWOOD VLG, BIRMINGHAM, AL 35209-4549
(205) 879-2512
(205) 870-3009
Mailing address
1619 ROSELAND DR, BIRMINGHAM, AL 35209-3953
(205) 871-8668
(205) 870-3009
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
S-598-TA-717
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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