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Individual

DR. KRISTIN ANNE HIESHETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
207 W. JOHN ST., PO 398, NEWBERRY, MI 49868-1209
(906) 291-5080
(906) 291-5081
Mailing address
PO BOX 398, 207 W. JOHN ST., NEWBERRY, MI 49868-1209
(906) 291-5080
(906) 291-5081

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009094
MI
111N00000X
Chiropractor
4128-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P628001
PTAN
MI
Enumeration date
09/27/2006
Last updated
05/24/2016
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