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1225761539
MICHAEL N HEGEWALD
GREEN BAY, WI
NPI
1225761539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16004)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
MICHAEL N HEGEWALD
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number: 920-288-5536
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Mailing Address
MICHAEL N HEGEWALD
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number:
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