MICHAEL T. HEGSTROM,MD, PLLC
Medical Practice in Brush Fork, WV

License number
West Virginia 21695
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MICHAEL TERRANCE HEGSTROM MD
Title: PHYSICIAN
Phone: (304) 327-1888
Address
Address
510 Cherry Street Suite 206, Brush Fork, WV 24701
National Provider ID: 1942359401
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MICHAEL T. HEGSTROM,MD, PLLC at bizstanding.com

MICHAEL T. HEGSTROM, MD, PLLC

PO Box 1299, Bluefield, WV 24701

Status:
Inactive
Inactive reason:
Revoked (Failure to File Annual Report)
Registration:
Jan 18, 2005
Inactive since:
Dec 21, 2012
Business type:
Professional Limited Liability Company
Members:
Michael T Hegstrom (Member), 510 Cherry St, Bluefield, WV 24701,Stephanie S. Hegstrom (Member), 510 Cherry St, Bluefield, WV 24701

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