Individual
MICHAEL DOUGLAS HEGEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 BROADWAY ST, VANCOUVER, WA 98663-3327
(360) 993-8868
Mailing address
4204 NE 44TH ST, VANCOUVER, WA 98661
(360) 921-8377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60117362
WA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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