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1700825304
MARK D HEGEWALD
FEDERAL WAY, WA
NPI
1700825304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: WA md00025475)
Enumeration Date
2006-06-06
Last Update Date
2011-12-29
Business Address
-- MARK D HEGEWALD MD
34612 6TH AVE S SUITE 200
FEDERAL WAY, WA 98003-8723
Phone number: 253-661-2594
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Mailing Address
-- MARK D HEGEWALD MD
34612 6TH AVE S SUITE 200
FEDERAL WAY, WA 98003-8723
Phone number: 253-661-2594
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