Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 52790 | MN |
Y | 111NI0900X | Internist | 52790 | MN |
NPI | 1003076290 |
---|---|
Provider Name | Dr. Shih-An John Hsieh |
First Address | Bloomington, MN 55425-4516 |
Second Address | Hibbing, MN 55746-2935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 12/03/2021 |