Individual
MICHAEL E HIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, MANITOWOC, WI 54220-9662
(920) 320-6212
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207R00000X
—
WI
01
—
P00780655
RR MEDICARE
WI
Enumeration date
09/19/2005
Last updated
07/11/2012
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