MEDICARE: DR. FRANK GERHARD HESSE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	62-40	NM

General Provider Information

NPI Number	:	1184918625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK GERHARD HESSE MD

Provider Business Mailing Address
First Line	:	1011 LAUREL DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-3314
Country	:	US
Telephone Number	:	505-265-3031
Fax Number	:	505-265-3032

Provider Business Practice Location Address
First Line	:	1011 LAUREL DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-3314
Country	:	US
Telephone Number	:	505-265-3031
Fax Number	:	505-265-3032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	06/01/2011

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