Individual
CONNIE L HEDMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301406854
MI
207VG0400X
Gynecology Physician
4301406854
MI
207VX0000X
Obstetrics Physician
Primary
4301406854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0521214
BC/BS
MI
05
—
2647635
—
MI
Enumeration date
10/04/2006
Last updated
09/11/2025
Update your record
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