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Individual
CHRISTIAN A HETTINGER
Active
Individual
CHRISTIAN A HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-34552
KS
208800000X
Urology Physician
2010024966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44580011
BCBS KC
—
01
—
P00893060
RR PIN
—
Enumeration date
08/08/2006
Last updated
09/04/2019
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