Individual
STUART CARL TIESZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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