Individual
DR. TIMOTHY M. HSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3110
Mailing address
201 GREENTREE DR, TAHLEQUAH, OK 74464-4159
(918) 931-1921
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
220511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015040A
—
OK
Enumeration date
11/02/2005
Last updated
01/11/2011
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