Individual
COURTNEY MARIE HETTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 SOUTH CENTER RD, BURTON, MI 48519
(810) 235-2004
Mailing address
2065 SOUTH CENTER RD, BURTON, MI 48519
(810) 338-7696
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
4704361174
MI
363LF0000X
Family Nurse Practitioner
Primary
4704361174
MI
Other
Enumeration date
01/06/2023
Last updated
10/03/2024
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