Provider Demographics
NPI:1750724654
Name:WAHL, TYLER STEPHEN (MD, MSPH)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:STEPHEN
Last Name:WAHL
Suffix:
Gender:M
Credentials:MD, MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2871 ACTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2560
Mailing Address - Country:US
Mailing Address - Phone:205-716-6900
Mailing Address - Fax:205-939-0242
Practice Address - Street 1:2871 ACTON RD STE 100
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2560
Practice Address - Country:US
Practice Address - Phone:205-716-6900
Practice Address - Fax:205-939-0242
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.33799208G00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)