Alyssa Anne Hedstrom in Grand Marais - General Practice
Alyssa Anne Hedstrom - NPI 1487879243
Alyssa Anne Hedstrom is a General Practice in Grand Marais, Minnesota. Alyssa Anne Hedstrom practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alyssa Anne Hedstrom is 1487879243. The last update date is 2008-04-30.
Alyssa Anne Hedstrom's current location address is Po Box 670, Grand Marais, Minnesota. You can contact this provider via phone number 2183872774 and fax number 2183871393. The mailing address for Alyssa Anne Hedstrom is Po Box 670, Grand Marais, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alyssa Anne Hedstrom |
|---|---|
| Address | Po Box 670, Grand Marais, Minnesota |
| Phone Number | 2183872774 |
| Fax Number | 2183871393 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1487879243 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | Po Box 670 |
|---|---|
| City | Grand Marais |
| State | Minnesota (MN) |
| Post Code | 556040670 |
| Phone Number | 2183872774 |
| Fax Number | 2183871393 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D11942 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Alyssa Anne Hedstrom by the Centers for Medicare & Medicaid Services (CMS)?
The Alyssa Anne Hedstrom has been assigned the NPI (National Provider Identifier) 1487879243. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Alyssa Anne Hedstrom?
The Alyssa Anne Hedstrom is physically situated at Po Box 670, in the city of Grand Marais, state of MN, with the postal code 556040670.
What is Alyssa Anne Hedstrom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alyssa Anne Hedstrom's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1487879243 assigned to Alyssa Anne Hedstrom?
The Alyssa Anne Hedstrom was issued its 1487879243 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Alyssa Anne Hedstrom most recently updated or revised?
The information pertaining to Alyssa Anne Hedstrom, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-30.
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