Doctor Name: | DR. FRANK GERHARD HESSE |
NPI Number: | 1184918625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 62-40 |
Business Practice Address: | 1011 Laurel Dr Se Albuquerque, NM - 871083314 |
Business Phone Number: | 5052653031 |
Business Fax Number: | 5052653032 |
Mailing Address: | 1011 Laurel Dr Se, ALBUQUERQUE |
State: | NM |
Postal Code: | 871083314 |
Phone Number: | 5052653031 |
Fax Number: | 5052653032 |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 62-40 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |