Individual
DR. LEO L HISE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6908
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6908
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37803
MN
207X00000X
Orthopaedic Surgery Physician
A-1685-12
NM
207XP3100X
Pediatric Orthopaedic Surgery Physician
37803
MN
207XS0106X
Orthopaedic Hand Surgery Physician
37803
MN
207XS0106X
Orthopaedic Hand Surgery Physician
A-1685-12
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
37803
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A-1685-12
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
37803
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A-1685-12
NM
207XX0801X
Orthopaedic Trauma Physician
37803
MN
207XX0801X
Orthopaedic Trauma Physician
A-1685-12
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71551336
—
NM
Enumeration date
01/17/2006
Last updated
01/03/2017
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