Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A141989 | CA |
Y | 208600000X | Surgeon | A141989 | CA |
N | 208200000X | Surgeon | MT191341 | PA |
N | 208600000X | Surgeon | MT191341 | PA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | A141989 | CA |
NPI | 1093913667 |
---|---|
Provider Name | William Hiesinger |
First Address | Palo Alto, CA 94303-3318 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 25/07/2016 |