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Individual

MICHAEL G. HEGEWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1601
(360) 830-1696
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 830-1601

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00028486
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00028486
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060016785
RAILROAD MEDICARE
01
4239193
AETNA
01
79379
LABOR & INDUSTRIES
WA
05
8129660
WA
01
HE6514
REGENCE BLUE SHIELD
Enumeration date
07/06/2006
Last updated
03/07/2023
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