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Individual

MR. DANIEL LOUIS HIERSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 E MANITOBA AVE, SUITE 106, ELLENSBURG, WA 98926-3885
(509) 962-6727
(509) 962-1994
Mailing address
5124 NANEUM RD, ELLENSBURG, WA 98926-6959
(509) 925-2663

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00022370
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1115476
WA
01
157669
LABOR & INDUSTRIES
WA
Enumeration date
12/29/2005
Last updated
12/17/2009
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