Individual provider · Type 1 NPI

Selena Tiberio, DO

Student in an Organized Health Care Education/Training Program · Mount Clemens, MI

NPI number 1861241929 Active

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X5151016556 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861241929

Selena Tiberio, DO's National Provider Identifier is 1861241929, issued on May 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Clemens, MI. The record was last updated on Jun 14, 2024.