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STEPHEN R HIETALA MD
NPI 1710905351
Family Medicine in Perham, MN

Active since July 18, 2006
665 3RD ST SW, PERHAM, MN 56573(218) 347-1200(218) 346-4043 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen R Hietala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN R HIETALA MD (NPI 1710905351) is an individual family medicine provider in Perham, Minnesota, licensed in Minnesota (28147) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710905351
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN R HIETALACredential: MD
Location Address665 3RD ST SWPerham, MN 56573-1108
Mailing Address665 3rd St SwPerham, MN 56573-1108 · (218) 347-1200 · Fax (218) 346-4043
Phone(218) 347-1200
Fax(218) 346-4043
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 17, 2011
✔ NPI 1710905351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 28147
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
665 3RD ST SW, Perham, MN 56573
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Other Identifiers 2

Medicare UPIND48649
Medicare PIN080005898MN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD W MASUR MD
Emergency Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4500
JEFFREY L BLICKENSTAFF MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4040
COREY L NYHUS MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
PERHAM HOSPITAL DISTRICT
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
SANFORD MEDICAL CENTER FARGO
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
DR. AMY MARIE VOGT PHARM D.
Pharmacist
665 3RD ST SW, SUITE 100
PERHAM, MN 56573
Otter Tail County (218) 346-4550
DUANE WALLACE RPH
Pharmacist
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-1169
MARISA LEA ZUTTER DNP
Nurse Practitioner (Family)
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 371-6117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Hietala's NPI number?

The NPI number for Stephen Hietala is 1710905351. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Stephen Hietala located?

Stephen Hietala practices at 665 3rd St SW, Perham, MN 56573. The listed phone number is (218) 347-1200.

What is Stephen Hietala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Hietala was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.