Individual
DR. BRECK MICHAEL TIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
350 HOUBOLT RD, SUITE 104, JOLIET, IL 60431-8305
(815) 553-0990
(815) 553-0991
Mailing address
350 HOUBOLT RD, SUITE 104, JOLIET, IL 60431-8305
(815) 553-0990
(815) 553-0991
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16005321
IL
Other
Enumeration date
05/03/2007
Last updated
10/16/2023
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