Individual
THERESA E HEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S CLINTON ST, SUITE 195, IOWA CITY, IA 52240-4034
(319) 638-4052
(319) 384-0603
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 337-0593
(319) 339-1449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
937
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970024057
RAILROAD MEDICARE
IA
Enumeration date
06/03/2006
Last updated
10/01/2012
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