Individual
DR. MATTHEW EMIL HIESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
560 CATALINA DR, ASHLAND, OR 97520-1605
(541) 201-4800
(541) 201-4801
Mailing address
2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO172346
OR
208D00000X
General Practice Physician
PG151467
OR
Other
Enumeration date
06/22/2010
Last updated
10/05/2015
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