Dr STEPHEN R HIETALA is a male medical professional, specializing in Family Medicine. He graduated in 1981 from University Of Minnesota Medical School.
PERHAM HOSPITAL DISTRICT
105 OTTER DR
OTTERTAIL
MN
565717040
Tel: 2183676111
Npi | 1710905351 |
Pac Id | 0941497473 |
Professional Enrollment Id | I20101209001315 |
Last Name | HIETALA |
First Name | STEPHEN |
Middle Name | R |
Suffix | |
Gender | M |
Credential | |
Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1981 |
Primary Specialty | FAMILY MEDICINE |
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Organization Legal Name | PERHAM HOSPITAL DISTRICT |
Group Practice Pac Id | 2264327766 |
Number Of Group Practice Members | 39 |
Line 1 Street Address | 105 OTTER DR |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | OTTERTAIL |
State | MN |
Zip Code | 565717040 |
Phone Number | 2183676111 |
Hospital Affiliation Ccn 1 | 241373 |
Hospital Affiliation Lbn 1 | PERHAM HEALTH |
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Professional Accepts Medicare Assignment | Y |
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