Provider Demographics
NPI:1821447020
Name:SPIERING, TYLER JAMES (MD)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:JAMES
Last Name:SPIERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2120
Mailing Address - Country:US
Mailing Address - Phone:616-396-5855
Mailing Address - Fax:877-592-0688
Practice Address - Street 1:370 N 120TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-2120
Practice Address - Country:US
Practice Address - Phone:616-396-5855
Practice Address - Fax:877-592-0688
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301117263207XS0114X
MI4301109711207X00000X
VA0116035012390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program