# ALLISON LAURA HETLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336412352
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO2459 | ME | — |
| 207Q00000X | Family Medicine Physician | 14123 | ND | Yes |
| 207Q00000X | Family Medicine Physician | 64569 | MN | — |
| 207Q00000X | Family Medicine Physician | DO2459 | ME | — |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 02/25/2021