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Michael T. Hegstrom,md, Pllc
Specialist in Bluefield, West Virginia
NPI 1942359401

Michael T. Hegstrom,md, Pllc is a Specialist based in Bluefield, WV. Michael T. Hegstrom,md, Pllc practices in Bluefield, WV. The NPI Number for Michael T. Hegstrom,md, Pllc is 1942359401 and holds a License No. 21695 (West Virginia).

The current practice location address for Michael T. Hegstrom,md, Pllc is 510 Cherry Street, Bluefield, WV and can be reached out via phone at 304-327-1888 and via fax at 304-327-1889.

Location: 510 Cherry Street, Bluefield, WV, 24701-3338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942359401
Provider Name
Michael T. Hegstrom,md, Pllc
Credential
Provider Entity Type
Organization
Address
510 Cherry Street, Bluefield, WV, 24701-3338
Phone Number
304-327-1888
Fax Number
304-327-1889
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810001358 05 WV
institution
Provider Business Practice Location Address Details
Address
510 Cherry Street
City
Bluefield
State
West Virginia
Zip
24701-3341
Phone Number
304-327-1888
Fax Number
304-327-1889
person
Provider Business Mailing Address Details
Address
510 Cherry Street
City
Bluefield
State
West Virginia
Zip
24701-3341
Phone Number
304-327-1888
Fax Number
304-327-1889
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
21695 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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