Individual
JAKE HEGGEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-4479
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-4479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123836
MN
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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