STEPHEN R HIETALA

PERHAM, MN
NPI1710905351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  28147)
Enumeration Date2006-07-18
Last Update Date2011-11-17
Business Address
STEPHEN R HIETALA MD
665 3RD ST SW
PERHAM, MN 56573-1108
Phone number: 218-347-1200
Mailing Address
STEPHEN R HIETALA MD
665 3RD ST SW
PERHAM, MN 56573-1108
Phone number: 218-347-1200
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