Montgomery John Hegewald in Traverse City - Gastroenterology
Montgomery John Hegewald - NPI 1205902095
Montgomery John Hegewald is a Gastroenterology in Traverse City, Michigan. Montgomery John Hegewald practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Montgomery John Hegewald is 1205902095. The last update date is 2008-08-29.
Montgomery John Hegewald's current location address is 4100 Park Forest Dr, Traverse City, Michigan. You can contact this provider via phone number 2319355710 and fax number 2319359045. The mailing address for Montgomery John Hegewald is 4100 Park Forest Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Montgomery John Hegewald |
|---|---|
| Address | 4100 Park Forest Dr, Traverse City, Michigan |
| Phone Number | 2319355710 |
| Fax Number | 2319359045 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205902095 |
|---|---|
| Provider Enumeration Date | 2006-11-26 |
| Last Updated Date | 2008-08-29 |
Provider Mailing Address Detail
| Address | 4100 Park Forest Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847331 |
| Phone Number | 2319355710 |
| Fax Number | 2319359045 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | MH075535 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4239855 | MI | -- | |
| OB81010 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Montgomery John Hegewald by the Centers for Medicare & Medicaid Services?
The Montgomery John Hegewald has been assigned the NPI (National Provider Identifier) 1205902095. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Montgomery John Hegewald?
The Montgomery John Hegewald is situated at 4100 Park Forest Dr, in the city of Traverse City, state of MI, with the zip code 496847331.
What is Montgomery John Hegewald's specialized field of practice, and what is the corresponding taxonomy classification code?
The Montgomery John Hegewald's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205902095 to Montgomery John Hegewald?
The Montgomery John Hegewald received its 1205902095 assignment from the Centers for Medicare & Medicaid Services on 2006-11-26.
As of what date were the details pertaining to Montgomery John Hegewald last refreshed?
The information related to the Montgomery John Hegewald, including its address, specialty, and other relevant details, was last updated on 2008-08-29.
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