Individual
KURT J HIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5315 ELLIOTT DR, STE 102, YPSILANTI, MI 48197-8634
(734) 434-4110
(734) 434-1966
Mailing address
5315 ELLIOTT DR, STE 102, YPSILANTI, MI 48197-8634
(734) 434-4110
(734) 434-1966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006301
MI
Other
Enumeration date
02/13/2012
Last updated
10/12/2017
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