Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyson Don Waliezer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790348076

Tyson Don Waliezer, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4160 John R Street Harper Professional Bldg Ste 615
Detroit, MI 48201
Phone: (313) 745-4195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790348076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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