Most Relevant Information
Provider Data
| NPI Number: | 1003329566 |
| Provider Name: | HAYLEY MEEK HEESEMANN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2017 |
| Last Updated: | 03/19/2021 |
Provider Practice Location
1550 S PIONEER WAY STE 150
MOSES LAKE
WA
988374620
Practice Location Phone/Fax
| Phone: | 5097939780 |
| Fax: | 5097643260 |
Provider Mailing Location
660 S COOLIDGE ST
MOSES LAKE
WA
988371872
Provider Mailing Phone/Fax
| Phone: | 5097939715 |
| Fax: | 5097643244 |