Individual
DONALD W HIEMENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RODENBACH LANE, BRODHEADSVILLE, PA 18322
(570) 992-4208
(570) 992-6117
Mailing address
PO BOX 37, RODENBACH LANE, BRODHEADSVILLE, PA 18322-9900
(570) 992-4202
(570) 992-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD013429E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007282060002
—
PA
Enumeration date
04/19/2006
Last updated
10/10/2012
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