Provider Demographics
NPI:1285932061
Name:HILLEMANN & KIRWAN MDS PC
Entity type:Organization
Organization Name:HILLEMANN & KIRWAN MDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-862-6312
Mailing Address - Street 1:50 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:S BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7204
Mailing Address - Country:US
Mailing Address - Phone:802-862-6312
Mailing Address - Fax:802-658-3984
Practice Address - Street 1:50 TIMBER LN
Practice Address - Street 2:
Practice Address - City:S BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7204
Practice Address - Country:US
Practice Address - Phone:802-862-6312
Practice Address - Fax:802-658-3984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty