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Individual
THERESA ANNE HEGGE
Active
Individual
THERESA ANNE HEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
12751
ND
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12751
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461056
—
ND
Enumeration date
06/26/2008
Last updated
02/15/2022
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