Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. R MITCHELL HISEROTE, D.O.
Active Sole ProprietorDR. R MITCHELL HISEROTE, D.O. is a Electrodiagnostic Medicine healthcare provider located in COTATI, California. NPI 1053525113 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · COTATI, CA
Registration Details
- NPI Number
- 1053525113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (19.296528493921 yrs)
- Last Updated
- Feb 4, 2025
- License
-
20A7465 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
648 MCGINNIS CIRCOTATI, CA, 949317718Browse CA providers · Browse ZIP 94931
- Phone
- 5599998647
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.