Organization
LYNN S HEDEMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN STUART HEDEMAN MD (PRESIDENT)
(616) 454-3465
Entity
Organization
Contact information
Practice address
414 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6038
(616) 454-3465
(616) 454-9004
Mailing address
414 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6038
(616) 454-3465
(616) 454-9004
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301029420
MI
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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