Individual
MITZI K. HEMSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
7777 STEUBENVILLE PIKE, OAKDALE, PA 15071-3409
(412) 867-9759
Mailing address
1160 INGOMAR HEIGHTS RD, PITTSBURGH, PA 15237-4263
(412) 867-9759
(412) 367-5855
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22559
WV
207L00000X
Anesthesiology Physician
Primary
MD420691
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001907643
MSBCBS GROUP
WV
01
—
001930180
MSBCBS
WV
05
—
0207026000
—
WV
05
—
2004563000
—
WV
05
—
3810006746
—
WV
Enumeration date
04/03/2006
Last updated
12/31/2012
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