MICHAEL DOUGLAS HEGEWALD

VANCOUVER, WA
NPI1659602811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  ma60117362)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
-- MICHAEL DOUGLAS HEGEWALD
2004 BROADWAY ST
VANCOUVER, WA 98663-3327
Phone number: 360-993-8868
Mailing Address
-- MICHAEL DOUGLAS HEGEWALD
4204 NE 44TH ST
VANCOUVER, WA 98661
Phone number: 360-921-8377