Michael T. Hegstrom,md, Pllc

NPI #1942359401 in Bluefield, West Virginia

Provider Information

NPI Number: 1942359401
Entity Type: Organization
Organization Name: Michael T. Hegstrom,md, Pllc
Primary Specialty: Specialist
Enumeration Date: Jan 10, 2007
Last Updated: Aug 9, 2011

Practice Location

Address: 510 CHERRY STREET
Address 2: SUITE 206, BLGD. A
City: Bluefield
State: West Virginia
ZIP Code: 24701-3341
Phone: (304) 327-1888

Authorized Official

Name: DR. MICHAEL TERRANCE HEGSTROM, MD
Title: PHYSICIAN
Phone: (304) 327-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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