Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN R HIETALA, MD
ActiveSTEPHEN R HIETALA, MD is a Family Medicine healthcare provider located in PERHAM, Minnesota. NPI 1710905351 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PERHAM, MN
Registration Details
- NPI Number
- 1710905351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.0572550586 yrs)
- Last Updated
- Nov 17, 2011
- License
-
28147 (MN)
Practice Information
- Address
-
665 3RD ST SWPERHAM, MN, 565731108Browse MN providers · Browse ZIP 56573
- Phone
- 2183471200
- Fax
- 2183464043
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PERHAM, MN
| Name | Credential | NPI |
|---|---|---|
| LUIS A MARTINEZ | M.D. | 1487634226 |
| ILLENE T REED | MD | 1982913505 |
| KIMBERLY PETERSEN | — | 1043247877 |
| MARK R PAULSON | MD | 1295766392 |
| COREY L NYHUS | MD | 1386661858 |
| JEFFREY L BLICKENSTAFF | MD | 1225056955 |
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.