Hedmark, Connie L

Hedmark, Connie L is an individual health care provider with primary practice located at 1414 W Fair Avenue Suite 390, Marquette MI 49855. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Hedmark, Connie L can be contacted via phone (906) 225-3881.

Contact Information

Primary practice address
1414 W Fair Avenue Suite 390 Marquette MI 49855
Phone: (906) 225-3881
Fax: (906) 225-0994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301406854 Michigan
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301406854 Michigan
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 4301406854 Michigan

Profile Details

NPI number 1639265135
LBN Legal business name Hedmark, Connie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639265135 NPPES
Michigan MEDICAID 2647635
Michigan Other 0521214

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