Stephen R Hietala MD

NPI 1710905351 - Family Medicine - 207Q00000X

NPI Details
NPI 1710905351
Gender Male
Enumeration Date 07/18/2006
Last Updated 11/17/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
665 3RD ST SW
PERHAM MN, 56573-1108, US
Phone (218) 347-1200
Fax (218) 346-4043
Business Location
665 3RD ST SW
PERHAM MN, 56573-1108, US
Phone (218) 347-1200
Fax (218) 346-4043
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 28147
Remove 1710905351 NPI Number
 

According to our database, Stephen R Hietala MD NPI is 1710905351, taxonomy code is 207Q00000X and license number is 28147, license state is located at Minnesota. Stephen R Hietala MD physically located at 665 3rd St Sw, Perham MN, 56573-1108. NPI Number Stephen R Hietala MD has the Individual type.

Sponsored links

1710905351 NPI number is provided on an as is basis without warranty of any kind. 1710905351 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen R Hietala MD are for informational purposes only.