Search › Alabama › 207ZP0101X
Tyler Clemmensen
NPI 1265852107 · on the registry since 2014
Practice
- Address
- 625 19th St S
Birmingham, AL 35249 - Phone
- (205) 934-4303
- Fax
- (205) 934-5499
- Clinicians at this address
- 1,154
Additional practice sites
- 619 19th St S, Birmingham, AL
Registry record
- Primary taxonomy
- 207ZP0101X
207ZP0101X
- Also registered as
- 207ZP0102X
390200000X - Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama