Individual
MARY J HESTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7505 METRO BLVD STE 400, EDINA, MN 55439
(612) 573-2200
(612) 573-2274
Mailing address
7505 METRO BLVD STE 400, EDINA, MN 55439-3010
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44336
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562264
—
IA
05
—
095709700
—
MN
01
—
1031331
PREFERRED ONE
MN
01
—
142764
UCARE
MN
01
—
1657168
AMERICA'S PPO
MN
01
—
250J9HE
BLUE CROSS
MN
01
—
300132408
RAILROAD MEDICARE MN
MN
05
—
34355900
—
WI
01
—
HP35297
HEALTHPARTNERS
MN
Enumeration date
05/24/2006
Last updated
06/27/2018
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