Individual
SCOTT T HEGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-0399
(320) 762-6847
Mailing address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-0399
(320) 762-6847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39789
MN
207Q00000X
Family Medicine Physician
Primary
39789
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020104
PREFERRED ONE
MN
01
—
0115805
MEDICA
MN
01
—
03F68HE
BLUE SHIELD
MN
01
—
122093D277
UCARE
MN
05
—
707023300
—
MN
01
—
847383
AMERICA'S PPO
MN
01
—
A014
CHAMPUS
MN
01
—
HP28780
HEALTH PARTNERS
MN
Enumeration date
01/19/2006
Last updated
01/17/2014
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