Individual
DR. MARK ANDREW HIESTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
221 5TH AVE S, GLASGOW, MT 59230-2600
(406) 228-3536
Mailing address
16201 E INDIANA AVE, SUITE 3100, SPOKANE VALLEY, WA 99216-2830
(509) 891-8904
(509) 344-3104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
131349
MT
208600000X
Surgery Physician
OP60226290
WA
Other
Enumeration date
05/14/2007
Last updated
08/06/2024
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