Individual
MARCUS HIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 TACOMA AVE, SUTIE 500, BISMARCK, ND 58504-7036
(701) 751-3001
(701) 751-3089
Mailing address
1000 TACOMA AVE, SUTIE 500, BISMARCK, ND 58504-7036
(701) 751-3001
(701) 751-3089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1551
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55714
—
ND
Enumeration date
07/26/2006
Last updated
12/02/2010
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