Individual
MR. HECTOR SIERRA ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(414) 385-1590
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 329-1000
(414) 385-1590
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
138
WI
367H00000X
Anesthesiologist Assistant
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090998
—
WI
Enumeration date
03/20/2019
Last updated
12/05/2023
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