Individual
STUART CARL TIESZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2018 BROOKWOOD MEDICAL CTR DR, POB #311, BIRMINGHAM, AL 35209-6898
(205) 329-7808
(205) 329-7807
Mailing address
2018 BROOKWOOD MEDICAL CTR DR, POB #311, BIRMINGHAM, AL 35209-6898
(205) 329-7805
(205) 329-7806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00012918
AL
2084P0805X
Geriatric Psychiatry Physician
00012918
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051041027
BLUE CROSS- BLUE SHIELD
AL
01
—
051099489
FEDERAL BLUE CROSS
AL
01
—
168112100
US DEPARTMENT OF LABOR
AL
01
—
260040675
RAILROAD MEDICARE
AL
01
—
45550
UNITED HEALTH CARE/UBH
AL
Enumeration date
08/25/2006
Last updated
11/29/2023
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