Individual
DR. LYNN S. HEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 CHERRY ST SE, SUITE 300, GRAND RAPIDS, MI 49503-4607
(616) 685-5050
(616) 685-8962
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-5050
(616) 685-8962
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
029420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497836282
—
MI
Enumeration date
10/18/2006
Last updated
12/01/2015
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