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Individual

DR. CHRISTOPHER A HEDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
523 4TH ST, SIOUX CITY, IA 51101-1601
(712) 224-3937
Mailing address
523 4TH ST, SIOUX CITY, IA 51101-1601
(712) 224-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02254
IA
152W00000X
Optometrist
1210
NE
152W00000X
Optometrist
618
SD
152WV0400X
Vision Therapy Optometrist
386
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36349
BCBS
IA
01
P00120449
RAILROAD MCR
IA
Enumeration date
01/16/2007
Last updated
10/22/2018
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